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Individual

REBECCA ANNE SOPELAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
115 WATERBURY RD, PROSPECT, CT 06712-1254
(203) 758-5660
Mailing address
4 TERRIE RD, FARMINGTON, CT 06032-2422
(860) 490-4012

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.013507
CT

Other

Enumeration date
11/04/2024
Last updated
11/06/2024
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