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1790405553
DOMENIC ROY
FARMINGTON, CT
NPI
1790405553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: CT 10914)
Enumeration Date
2022-08-31
Last Update Date
2022-08-31
Business Address
Mr. DOMENIC ROY APRN
263 FARMINGTON AVE
FARMINGTON, CT 06030-0002
Phone number: 860-679-4450
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Mailing Address
Mr. DOMENIC ROY APRN
145 MORTON RD
WATERBURY, CT 06705-3054
Phone number: 203-465-9215
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