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Individual

GABRIELLE EMMANUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
87 CHURCH ST STE 206, EAST HARTFORD, CT 06108-3742
(860) 291-9787
Mailing address
210 FARMINGTON AVE APT 410, HARTFORD, CT 06105-3671
(860) 794-7625

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
08/05/2024
Last updated
08/05/2024
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