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Individual

SANDRA S VOLLONO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
EASTERN POINT RD, GROTON, CT 06430
(860) 441-3916
Mailing address
26 BROOKS LN, IVORYTON, CT 06442-1100
(860) 441-3916
(860) 441-6028

Taxonomy

Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
E36180
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
000081
CT

Other

Enumeration date
01/02/2008
Last updated
01/02/2008
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