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DEVON MICHELLE KWASSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
469 MIGEON AVE, COMMUNITY HEALTH & WELLNESS CTR. OF GREATER TORRINGTON, TORRINGTON, CT 06790-4643
(860) 489-0931
Mailing address
75 AVONWOOD RD APT A16, AVON, CT 06001-2089
(860) 550-3791

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4804
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004247872
CT
Enumeration date
09/15/2011
Last updated
11/04/2011
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