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MR. CHRISTOPHER ROY BOULANGER LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1578705422
Individual Registrant:MR. CHRISTOPHER ROY BOULANGER LPN
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
33 SANFORD LN BETHLEHEM, CT 06751-1816 US
Tel: 203-980-1421 Fax: --
Tel: 203-980-1421 Fax: --
Contact information for business:
33 SANFORD LN BETHLEHEM, CT 06751-1816 US
Tel: 203-980-1421 Fax: --
Tel: 203-980-1421 Fax: --
Registration Information:
NPI: 1578705422
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | NY | 293066-1 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
