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Individual

DEBRA ANN ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11 SOUTH RD, FARMINGTON, CT 06032-2483
(860) 837-5428
(860) 837-7871
Mailing address
11 SOUTH RD, FARMINGTON, CT 06032-2483
(860) 837-5428
(860) 837-7871

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
E60726
CT

Other

Enumeration date
01/08/2019
Last updated
01/08/2019
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