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1881298156
SANDRA JACQUELINE LANDIVAR
STAMFORD, CT
NPI
1881298156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CT 10436)
Enumeration Date
2020-11-26
Last Update Date
2024-06-28
Business Address
SANDRA JACQUELINE LANDIVAR
170 WASHINGTON BLVD
STAMFORD, CT 06902-8904
Phone number: 203-276-2472
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Mailing Address
SANDRA JACQUELINE LANDIVAR
170 WASHINGTON BLVD
STAMFORD, CT 06902-8904
Phone number: 203-276-2472
Copy
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