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1548655038
TANIA RICHARD
GROTON, CT
NPI
1548655038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: CT 006376)
Enumeration Date
2015-04-01
Last Update Date
2016-12-20
Business Address
-- TANIA RICHARD CNM/WHNP
17 EASTWOOD RD
GROTON, CT 06340-6010
Phone number: 860-912-2133
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Mailing Address
-- TANIA RICHARD CNM/WHNP
17 EASTWOOD RD
GROTON, CT 06340-6010
Phone number: 860-912-2133
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