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1285314443
MARY NTA
MIDDLETOWN, CT
NPI
1285314443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 12112)
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
MARY NTA APRN
226 RIDGEFIELD DR
MIDDLETOWN, CT 06457-6513
Phone number: 860-997-1110
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Mailing Address
MARY NTA APRN
226 RIDGEFIELD DR
MIDDLETOWN, CT 06457-6513
Phone number: 860-997-1110
Copy
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