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1821062175
KATHLEEN R BONAVENTURA
FAIRFIELD, CT
NPI
1821062175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CT 002078)
Enumeration Date
2006-02-14
Last Update Date
2010-03-15
Business Address
-- KATHLEEN R BONAVENTURA APRN
1305 POST RD
FAIRFIELD, CT 06824-6016
Phone number: 203-292-2000
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Mailing Address
-- KATHLEEN R BONAVENTURA APRN
103 THOREAU DR
SHELTON, CT 06484-1638
Phone number: 203-292-2000
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