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1083697916
IRENE ELLISON
BRIDGEPORT, CT
NPI
1083697916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
Enumeration Date
2005-11-23
Last Update Date
2007-07-08
Business Address
-- IRENE ELLISON
471 BARNUM AVE
BRIDGEPORT, CT 06608-2409
Phone number: 203-333-6864
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Mailing Address
-- IRENE ELLISON
471 BARNUM AVE
BRIDGEPORT, CT 06608-2409
Phone number: 203-333-6864
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