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1639105166
AVA ROSE BOORNAZIAN
WATERBURY, CT
NPI
1639105166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 002444)
Enumeration Date
2006-06-25
Last Update Date
2021-10-19
Business Address
AVA ROSE BOORNAZIAN APRN
56 FRANKLIN ST
WATERBURY, CT 06706-1221
Phone number: 203-709-6000
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Mailing Address
AVA ROSE BOORNAZIAN APRN
56 FRANKLIN ST 3RD FLOOR
WATERBURY, CT 06706-1221
Phone number: 203-709-8873
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