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Individual

RUDY ANTHONY BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
67 SHIRLEY DR, STRATFORD, CT 06614-4652
(203) 610-5455
Mailing address
67 SHIRLEY DRIVE, STRATFORD, CT 06614
(203) 610-5455

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
031676
CT

Other

Enumeration date
04/29/2011
Last updated
04/29/2011
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