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Individual

CYNTHIA BODEUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
155 HAZARD AVE, SUITE 14, ENFIELD, CT 06082-4580
(860) 749-3169
Mailing address
155 HAZARD AVE, SUITE 14, ENFIELD, CT 06082-4580
(860) 749-3169

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
119579
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
5828
CT

Other

Enumeration date
07/01/2014
Last updated
08/08/2014
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