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1538142435
JILL LESLIE DUBOFF-JACOMINI
FARMINGTON, CT
NPI
1538142435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 000800)
Enumeration Date
2005-11-23
Last Update Date
2013-05-01
Business Address
Mrs. JILL LESLIE DUBOFF-JACOMINI APRN
10 TALCOTT NOTCH RD
FARMINGTON, CT 06032-1800
Phone number: 860-679-6700
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Mailing Address
Mrs. JILL LESLIE DUBOFF-JACOMINI APRN
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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