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Breanne Dufault
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1518464809

Breanne Dufault is a Student in an Organized Health Care Education/Training Program based in Hampden, CT. Breanne Dufault practices in Farmington, CT. The NPI Number for Breanne Dufault is 1518464809 and holds a License No. 12199 (Connecticut).

The current practice location address for Breanne Dufault is 263 Farmington Ave, Farmington, CT and can be reached out via phone at 860-679-2000.

Location: 263 Farmington Ave, Farmington, CT, 01036-9100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518464809
Provider Name
Breanne Dufault
Credential
Provider Entity Type
Individual
Gender
Female
Address
263 Farmington Ave, Farmington, CT, 01036-9100
Phone Number
860-679-2000
Fax Number
Provider Enumeration Date
04/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06032
Phone Number
860-679-2000
Fax Number
person
Provider Business Mailing Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06032
Phone Number
860-679-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
12199 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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