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1235631342
GIDEON DWOMO
ENFIELD, CT
NPI
1235631342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CT 040075)
Enumeration Date
2018-03-05
Last Update Date
2018-03-05
Business Address
GIDEON DWOMO
153 HAZARD AVE
ENFIELD, CT 06082-4592
Phone number: 860-253-5020
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Mailing Address
GIDEON DWOMO
995 DAY HILL RD
WINDSOR, CT 06095-1722
Phone number: 860-731-5522
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