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1730348442
DANIEL CHICK FOMBO
DANBURY, CT
NPI
1730348442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 6100)
Enumeration Date
2008-06-06
Last Update Date
2016-03-17
Business Address
Mr. DANIEL CHICK FOMBO MSN APN
67 SAND PIT RD STE. 308
DANBURY, CT 06810-4032
Phone number: 203-743-7264
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Mailing Address
Mr. DANIEL CHICK FOMBO MSN APN
67 SAND PIT RD STE. 308
DANBURY, CT 06810-4032
Phone number: 203-743-7264
Copy
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