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1104408061
KELLY NICOLE HAFERS
BRIDGEPORT, CT
NPI
1104408061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-04-21
Last Update Date
2021-07-13
Business Address
Miss KELLY NICOLE HAFERS PA-C
30 HAZEL ST
BRIDGEPORT, CT 06604-7752
Phone number: 203-576-4880
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Mailing Address
Miss KELLY NICOLE HAFERS PA-C
30 HAZEL ST
BRIDGEPORT, CT 06604-7752
Phone number: 203-576-4880
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