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1972168631
EVIE T IYAMU-OSAGIE
WEST HARTFORD, CT
NPI
1972168631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CT 12.007946)
Enumeration Date
2019-05-07
Last Update Date
2019-05-23
Business Address
EVIE T IYAMU-OSAGIE
345 N MAIN ST STE 248
WEST HARTFORD, CT 06117-2508
Phone number: 860-231-8345
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Mailing Address
EVIE T IYAMU-OSAGIE
76 N MOUNTAIN RD APT C
NEW BRITAIN, CT 06053-3471
Phone number: 203-889-1752
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