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Individual

MRS. KASSANDRA R PAULINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN APRN AGNP

Contact information

Practice address
22 OLD WATERBURY RD STE 108, SOUTHBURY, CT 06488-3848
(203) 262-4201
Mailing address
3 CLAREMONT AVE, DANBURY, CT 06810-6303
(203) 788-6066

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
10454
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
10454
CT

Other

Enumeration date
01/31/2022
Last updated
03/30/2022
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