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1376301283
MICHAEL VANCE WOOD
GLASTONBURY, CT
NPI
1376301283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 12873)
Enumeration Date
2024-03-06
Last Update Date
2024-03-06
Business Address
MICHAEL VANCE WOOD APRN
300 HEBRON AVE STE 203
GLASTONBURY, CT 06033-2192
Phone number: 860-946-0447
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Mailing Address
MICHAEL VANCE WOOD APRN
118 DEEPWOOD DR
AVON, CT 06001-3155
Phone number: 470-767-3029
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