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1528467016
LISA DECARLO
NORWICH, CT
NPI
1528467016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 5857)
Enumeration Date
2014-08-20
Last Update Date
2014-08-20
Business Address
-- LISA DECARLO
330 WASHINGTON ST SUITE 510
NORWICH, CT 06360-2700
Phone number: 860-885-1308
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Mailing Address
-- LISA DECARLO
40 MANSFIELD AVE
WILLIMANTIC, CT 06226-2018
Phone number: 860-450-7471
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