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1912472093
SOPHIA STEPHANIE RICKEVICIUS
NEW MILFORD, CT
NPI
1912472093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 7866)
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
SOPHIA STEPHANIE RICKEVICIUS Family Nurse Practit
30 PARK LN E
NEW MILFORD, CT 06776-2510
Phone number: 860-355-0971
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Mailing Address
SOPHIA STEPHANIE RICKEVICIUS Family Nurse Practit
2461 LITCHFIELD RD
WATERTOWN, CT 06795-1015
Phone number: 860-689-3919
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