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1497855274
MARY T BRENNAN
FARMINGTON, CT
NPI
1497855274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CT 002561)
Enumeration Date
2006-09-22
Last Update Date
2013-05-06
Business Address
-- MARY T BRENNAN APRN
263 FARMINGTON AVE
FARMINGTON, CT 06030-2202
Phone number: 860-679-3107
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Mailing Address
-- MARY T BRENNAN APRN
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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