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1689204919
COLLEEN FERNANDES
NEW LONDON, CT
NPI
1689204919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-01-26
Last Update Date
2022-09-28
Business Address
COLLEEN FERNANDES
15 MOHEGAN AVE
NEW LONDON, CT 06320-8100
Phone number: 860-701-6999
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Mailing Address
COLLEEN FERNANDES
115 PLANT ST
NEW LONDON, CT 06320-4423
Phone number:
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