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1538519954
SHINE PHILIP
GREENWICH, CT
NPI
1538519954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 13204)
Enumeration Date
2016-06-16
Last Update Date
2024-07-26
Business Address
SHINE PHILIP NP
75 HOLLY HILL LN STE 201
GREENWICH, CT 06830-2912
Phone number: 203-276-2516
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Mailing Address
SHINE PHILIP NP
75 HOLLY HILL LN STE 201
GREENWICH, CT 06830-2912
Phone number: 203-276-2516
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