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1053952283
SAMARA DEJESUS
STRATFORD, CT
NPI
1053952283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CT 40813)
Enumeration Date
2019-09-29
Last Update Date
2019-09-29
Business Address
SAMARA DEJESUS
419 BRUCE AVE
STRATFORD, CT 06615-5525
Phone number: 203-923-4211
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Mailing Address
SAMARA DEJESUS
419 BRUCE AVE
STRATFORD, CT 06615-5525
Phone number: 203-923-4211
Copy
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