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1467220079
LOURDES M RIVERA
ENFIELD, CT
NPI
1467220079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CT 33318)
Enumeration Date
2023-12-13
Last Update Date
2023-12-13
Business Address
LOURDES M RIVERA
153 HAZARD AVE
ENFIELD, CT 06082-4592
Phone number: 860-731-5522
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Mailing Address
LOURDES M RIVERA
2 WATERSIDE XING STE 401
WINDSOR, CT 06095-1588
Phone number: 860-697-3351
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