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1962929752
BEATA TERESA KUBACKA
MERIDEN, CT
NPI
1962929752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CT 7192)
Enumeration Date
2017-08-23
Last Update Date
2018-03-17
Business Address
BEATA TERESA KUBACKA APRN
435 LEWIS AVE
MERIDEN, CT 06451-2101
Phone number: 203-694-8200
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Mailing Address
BEATA TERESA KUBACKA APRN
34 SKUNK MISERY RD
HIGGANUM, CT 06441-4435
Phone number: 860-209-6086
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