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1457930158
SELMA COSTA ROSA
NEWINGTON, CT
NPI
1457930158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CT 12.009476)
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
SELMA COSTA ROSA FNP-BC
117 DOWD ST
NEWINGTON, CT 06111-2608
Phone number: 860-250-9017
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Mailing Address
SELMA COSTA ROSA FNP-BC
117 DOWD ST
NEWINGTON, CT 06111-2608
Phone number: 860-250-9017
Copy
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