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Individual

ELLEN ANN MAURUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13 CHURCH RD, EAST GRANBY, CT 06026-9406
(860) 653-4526
Mailing address
36 CONLIN DR, ENFIELD, CT 06082-5020
(860) 299-3694

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10588
CT

Other

Enumeration date
07/30/2022
Last updated
07/30/2022
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