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Individual
MR. ROBERT JOHN SPANO
Active
Individual
MR. ROBERT JOHN SPANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
083434
CT
163W00000X
Registered Nurse
548615-1
NY
363LF0000X
Family Nurse Practitioner
12.006746
CT
363LF0000X
Family Nurse Practitioner
Primary
33-341065
NY
Other
Enumeration date
02/10/2010
Last updated
04/07/2020
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