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1952771651
SHANTAY LATOYA WELLS
FARMINGTON, CT
NPI
1952771651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: CT 006270)
Enumeration Date
2015-10-07
Last Update Date
2022-11-18
Business Address
SHANTAY LATOYA WELLS AGACNP
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-4477
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Mailing Address
SHANTAY LATOYA WELLS AGACNP
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-4477
Copy
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