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1386317774
SUSAN J DONOVAN
WEST HAVEN, CT
NPI
1386317774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 12.009812)
Enumeration Date
2021-07-30
Last Update Date
2021-07-30
Business Address
SUSAN J DONOVAN APRN
950 CAMPBELL AVE
WEST HAVEN, CT 06516-2770
Phone number: 203-932-5711
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Mailing Address
SUSAN J DONOVAN APRN
163 GLENWOOD AVE
NEW LONDON, CT 06320-4304
Phone number: 860-501-4223
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