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1528141504
JILL VENTRELLA ELY
STAMFORD, CT
NPI
1528141504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 02119)
Enumeration Date
2006-10-23
Last Update Date
2015-12-14
Business Address
-- JILL VENTRELLA ELY APRN
292 LONG RIDGE RD FAIRFIELD COUNTY DIABETES AND ENDOCRINE CENTER
STAMFORD, CT 06902-1627
Phone number: 203-276-7213
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Mailing Address
-- JILL VENTRELLA ELY APRN
292 LONG RIDGE RD STE 206
STAMFORD, CT 06902-1627
Phone number: 203-276-7213
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