Individual
MARY MARLOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
358 W MAIN ST, AVON, CT 06001-3643
(866) 389-2727
Mailing address
358 W MAIN ST, AVON, CT 06001-3643
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3601
CT
Other
Enumeration date
12/08/2009
Last updated
09/25/2013
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