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1912693151
AUDREY BRIGHAM
FARMINGTON, CT
NPI
1912693151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT 13762)
Enumeration Date
2023-04-12
Last Update Date
2023-05-20
Business Address
Dr. AUDREY BRIGHAM DMD
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2000
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Mailing Address
Dr. AUDREY BRIGHAM DMD
299 COLT HWY APT 135
FARMINGTON, CT 06032-3091
Phone number:
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