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1053626929
MADONNA KAY FASULA
NEW HAVEN, CT
NPI
1053626929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: CT 002435)
Enumeration Date
2010-08-16
Last Update Date
2010-08-16
Business Address
Mrs. MADONNA KAY FASULA A.P.R.N.
100 YORK ST STE 2J
NEW HAVEN, CT 06511-5664
Phone number: 203-764-9131
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Mailing Address
Mrs. MADONNA KAY FASULA A.P.R.N.
100 YORK ST STE 2J
NEW HAVEN, CT 06511-5664
Phone number: 203-764-9131
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