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1275039067
JOHNATHAN LEE NIEVES
FARMINGTON, CT
NPI
1275039067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CT 67330)
Enumeration Date
2018-04-02
Last Update Date
2021-06-25
Business Address
DR. JOHNATHAN LEE NIEVES MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2147
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Mailing Address
DR. JOHNATHAN LEE NIEVES MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2147
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