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1265892665
DEBORAH A ELLISON APRN LLC
MANCHESTER, CT
NPI
1265892665
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Entity Type
Organization
Authorized Contact
DEBORAH ELLISON
Ap RN
860-368-9213
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2016-02-26
Last Update Date
2016-02-26
Business Address
DEBORAH A ELLISON APRN LLC
901 MAIN ST @AXIS901
MANCHESTER, CT 06040-6008
Phone number: 860-634-5342
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Mailing Address
DEBORAH A ELLISON APRN LLC
901 MAIN ST @AXIS901
MANCHESTER, CT 06040-6008
Phone number:
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