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1457922692
OKECHUKWU C CHIDIADI
SOUTH WINDSOR, CT
NPI
1457922692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 009779)
Enumeration Date
2021-07-08
Last Update Date
2021-10-25
Business Address
OKECHUKWU C CHIDIADI PMHNP
92 MARK DR
SOUTH WINDSOR, CT 06074-1435
Phone number: 860-869-5030
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Mailing Address
OKECHUKWU C CHIDIADI PMHNP
92 MARK DR
SOUTH WINDSOR, CT 06074-1435
Phone number: 860-869-5030
Copy
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