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1710061858
DOROTA PAWLAK
FARMINGTON, CT
NPI
1710061858
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Former Name
DOROTA BUBAK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CT 002949)
Enumeration Date
2006-10-25
Last Update Date
2022-11-07
Business Address
MRS. DOROTA PAWLAK
263 FARMINGTON AVE
FARMINGTON, CT 06030-2212
Phone number: 860-679-8758
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Mailing Address
MRS. DOROTA PAWLAK
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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