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1235714551
EDDIELIZA CASIONAN
MANCHESTER, CT
NPI
1235714551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CT 9581)
Enumeration Date
2021-03-17
Last Update Date
2021-03-17
Business Address
EDDIELIZA CASIONAN APRN
71 HAYNES ST
MANCHESTER, CT 06040-4131
Phone number: 860-646-1222
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Mailing Address
EDDIELIZA CASIONAN APRN
97 FARNHAM RD
SOUTH WINDSOR, CT 06074-1115
Phone number: 860-990-8409
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