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Individual

MRS. SABIENNE EMILIE LEGROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2639 MAIN ST, GLASTONBURY, CT 06033-2023
(860) 659-1329
Mailing address
200 HIGHLAND CORPORATE DR, CUMBERLAND, RI 02864-1786
(412) 313-7026

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8657
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
09/05/2019
Last updated
10/06/2021
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