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1407881626
IVELISSE RIVERA-GODREAU
MERIDEN, CT
NPI
1407881626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CT 047088)
Enumeration Date
2006-07-12
Last Update Date
2010-08-19
Business Address
Dr. IVELISSE RIVERA-GODREAU M.D.
134 STATE ST
MERIDEN, CT 06450-3293
Phone number: 203-237-2229
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Mailing Address
Dr. IVELISSE RIVERA-GODREAU M.D.
635 MAIN ST ATTN: CREDENTIALING DPT
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
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