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1043685308
ASENA DEROHANNESIAN
BRIDGEPORT, CT
NPI
1043685308
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Former Name
ASENA LEVENT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CT 6410)
Enumeration Date
2015-12-11
Last Update Date
2018-10-17
Business Address
ASENA DEROHANNESIAN
425 THORME ST
BRIDGEPORT, CT 06606-3418
Phone number: 203-275-4115
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Mailing Address
ASENA DEROHANNESIAN
46 ALBION ST
BRIDGEPORT, CT 06605-2602
Phone number: 203-330-6000
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