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1578022166
DAEDLY POTUSEK
WATERBURY, CT
NPI
1578022166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 8133)
Enumeration Date
2019-03-14
Last Update Date
2024-07-13
Business Address
DAEDLY POTUSEK APRN
80 PHOENIX AVE
WATERBURY, CT 06702-1418
Phone number: 203-756-8021
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Mailing Address
DAEDLY POTUSEK APRN
2661 WHITNEY AVENUE
HAMDEN, CT 06518
Phone number:
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