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Individual

HAIRONG WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
202 QUEEN ST, BRISTOL, CT 06010-5809
(860) 261-5752
Mailing address
35 W HILLS DR, AVON, CT 06001-2239
(860) 803-1917

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12.008674
CT

Other

Enumeration date
02/02/2020
Last updated
02/09/2020
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