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1063746816
EVELET AMANDA GREEN
BRIDGEPORT, CT
NPI
1063746816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CT R45831)
Enumeration Date
2009-09-28
Last Update Date
2009-09-28
Business Address
Miss EVELET AMANDA GREEN rn
584 JENNINGS AVE BRIDGEPORT
BRIDGEPORT, CT 06610-1114
Phone number: 203-371-7652
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Mailing Address
Miss EVELET AMANDA GREEN rn
584 JENNINGS AVENUE BRIDGEPORT
BRIDGEPORT, CT 06610
Phone number: 203-371-7652
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