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1205069614
EVEROL M ENNIS
ROCKY HILL, CT
NPI
1205069614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CT 004168)
Enumeration Date
2009-09-01
Last Update Date
2014-05-09
Business Address
Mr. EVEROL M ENNIS APRN
400 CAPITAL BLVD SUITE 3-134
ROCKY HILL, CT 06067-3576
Phone number: 860-227-1343
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Mailing Address
Mr. EVEROL M ENNIS APRN
196 WOODLAND DR
CHESHIRE, CT 06410-1645
Phone number:
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