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1821778085
CANDACE AUTUMN GREGG
WATERBURY, CT
NPI
1821778085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 12.012133)
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
CANDACE AUTUMN GREGG APRN
80 PHOENIX AVE
WATERBURY, CT 06702-1418
Phone number: 203-756-8021
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Mailing Address
CANDACE AUTUMN GREGG APRN
80 PHOENIX AVE
WATERBURY, CT 06702-1418
Phone number: 203-756-8021
Copy
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