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1720081110
GREGORY S DESTEFANO
SHELTON, CT
NPI
1720081110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CT 002291)
Enumeration Date
2005-05-23
Last Update Date
2007-07-08
Business Address
-- GREGORY S DESTEFANO APRN
NP RESOURCES, LLC SIX CORPORATE DRIVE, SUITE 420
SHELTON, CT 06484
Phone number: 203-925-9600
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Mailing Address
-- GREGORY S DESTEFANO APRN
5 SHERWOOD DR
NORTH HAVEN, CT 06473-2129
Phone number: 203-645-5053
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