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Individual

ALICE GANCSOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
324 ELM ST STE 202B, MONROE, CT 06468-2284
(203) 880-5335
Mailing address
65 DWIGHT ST, #55, NEW HAVEN, CT 06511-5358
(617) 913-3610

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4787
CT

Other

Enumeration date
09/07/2011
Last updated
04/09/2019
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