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Individual

CHARLENE KUPERNIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
249 WINSTED RD, TORRINGTON, CT 06790-2958
(860) 489-5500
Mailing address
300 HUMPHREY ST APT 1, NEW HAVEN, CT 06511-3935

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8494
CT

Other

Enumeration date
01/31/2020
Last updated
01/31/2020
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