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1457998502
IFEYINWA LEONARD
ORANGE, CT
NPI
1457998502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 8604)
Enumeration Date
2019-12-09
Last Update Date
2019-12-09
Business Address
IFEYINWA LEONARD
240 INDIAN RIVER RD
ORANGE, CT 06477-3649
Phone number: 203-497-3861
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Mailing Address
IFEYINWA LEONARD
31 KINGSTON ST
WETHERSFIELD, CT 06109-1317
Phone number: 860-718-5061
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