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1942901574
SHANIQUE A DEVONISH
ENFIELD, CT
NPI
1942901574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CT 041643)
Enumeration Date
2023-03-10
Last Update Date
2023-03-10
Business Address
SHANIQUE A DEVONISH
153 HAZARD AVE
ENFIELD, CT 06082-4592
Phone number: 860-731-5522
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Mailing Address
SHANIQUE A DEVONISH
2 WATERSIDE XING
WINDSOR, CT 06095-1587
Phone number: 860-731-5522
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