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1245099175
JONATHAN DODARD
RIDGEFIELD, CT
NPI
1245099175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 12993)
Enumeration Date
2024-03-14
Last Update Date
2024-05-16
Business Address
JONATHAN DODARD
96 DANBURY RD
RIDGEFIELD, CT 06877-4069
Phone number: 203-438-0874
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Mailing Address
JONATHAN DODARD
2 TEABERRY LN UNIT 2
RIDGEFIELD, CT 06877-3349
Phone number: 857-417-5294
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