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Individual

MRS. BOZENA VALENCIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHRAM D.

Contact information

Practice address
1333 EAST PUTNAM AVENUE, RIVERSIDE, CT 06878
(203) 637-1496
Mailing address
1333 E PUTNAM AVE, RIVERSIDE, CT 06878-1529
(203) 637-1496

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010111
CT

Other

Enumeration date
10/17/2011
Last updated
10/17/2011
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