Individual
MISS DOREEN ANN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2613
(203) 573-7028
Mailing address
7 LINDA CT, NAUGATUCK, CT 06770-2203
(203) 723-4042
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002189
CT
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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