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1376559492
DEBRA M DIVENERE
WATERBURY, CT
NPI
1376559492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CT 0002590)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Ms. DEBRA M DIVENERE APRN, CPNP
134 GRANDVIEW AVE SUITE 208
WATERBURY, CT 06708-2507
Phone number: 203-755-3279
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Mailing Address
Ms. DEBRA M DIVENERE APRN, CPNP
25 WINSTON CT
BRISTOL, CT 06010-2691
Phone number: 860-585-7063
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