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1659353118
MADELINE FRANCIS REVERE
WATERBURY, CT
NPI
1659353118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 000241)
Enumeration Date
2005-11-18
Last Update Date
2011-04-08
Business Address
Mrs. MADELINE FRANCIS REVERE APRN
64 ROBBINS ST CRISIS INTERVENTION CENTER
WATERBURY, CT 06708-2613
Phone number: 203-573-6798
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Mailing Address
Mrs. MADELINE FRANCIS REVERE APRN
3 SABBADAY LN
WASHINGTON, CT 06793-1306
Phone number: 860-868-0440
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