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1023030715
KELLY TAKACS
BRIDGEPORT, CT
NPI
1023030715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CT 002251)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- KELLY TAKACS
2800 MAIN STREET SAINT VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606
Phone number: 203-929-7353
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Mailing Address
-- KELLY TAKACS
4 ARMSTRONG ROAD
SHELTON, CT 06484
Phone number: 203-929-7353
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