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Individual

SALOUA MABKHOUTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
40 MAIN ST N, WOODBURY, CT 06798-2966
(203) 266-0080
(203) 575-5221
Mailing address
1625 STRAITS TPKE, SUITE 201, MIDDLEBURY, CT 06762-1836
(320) 357-3951
(320) 357-5520

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
006607
CT

Other

Enumeration date
08/08/2016
Last updated
04/27/2017
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