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Individual

EVIE T IYAMU-OSAGIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
345 N MAIN ST STE 248, WEST HARTFORD, CT 06117-2508
(860) 231-8345
Mailing address
76 N MOUNTAIN RD APT C, NEW BRITAIN, CT 06053-3471
(203) 889-1752

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
12.007946
CT

Other

Enumeration date
05/07/2019
Last updated
05/23/2019
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