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Organization

AUGUST PRIMARY CARE CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLUSOLA A. OBASA (NP)
(860) 770-6437
Entity
Organization

Contact information

Practice address
909 FARMINGTON AVE, NEW BRITAIN, CT 06053-1352
(860) 770-6437
Mailing address
909 FARMINGTON AVE, NEW BRITAIN, CT 06053-1352
(860) 770-6437

Taxonomy

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

Other

Enumeration date
12/07/2022
Last updated
12/07/2022
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