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1316559248
AGAPE FAMILY MEDICAL CENTER LLC
WATERBURY, CT
NPI
1316559248
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Entity Type
Organization
Authorized Contact
FELISTAS MAZHANDU
Owner
860-797-0572
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
AGAPE FAMILY MEDICAL CENTER LLC
1078 W MAIN ST STE 3
WATERBURY, CT 06708-2651
Phone number: 860-797-0572
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Mailing Address
AGAPE FAMILY MEDICAL CENTER LLC
4 WOODLAND TRL
ELLINGTON, CT 06029-3890
Phone number: 860-797-0572
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