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Individual

MRS. M JEANNE EVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
2800 TAMARACK AVENUE, SUITE 102, SOUTH WINDSOR, CT 06074
(860) 648-2802
(860) 648-0870
Mailing address
2800 TAMARACK AVENUE, SUITE 102, SOUTH WINDSOR, CT 06074
(860) 648-2802
(860) 648-0870

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000463
CT

Other

Enumeration date
03/31/2008
Last updated
03/31/2008
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