SHAVONNE LARCENIA OVERTON

BRIDGEPORT, CT
NPI1922713254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  12.011424)
Enumeration Date2023-01-20
Last Update Date2023-01-20
Business Address
SHAVONNE LARCENIA OVERTON
58 TULLY CIR
BRIDGEPORT, CT 06610-1116
Phone number: 860-680-2922
Mailing Address
SHAVONNE LARCENIA OVERTON
58 TULLY CIR
BRIDGEPORT, CT 06610-1116
Phone number: 860-680-2922
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