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1114468048
JESSICA LUCARELLI-RUSSELL
BRIDGEPORT, CT
NPI
1114468048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CT 6968)
Enumeration Date
2017-03-10
Last Update Date
2017-06-09
Business Address
-- JESSICA LUCARELLI-RUSSELL APRN
2800 MAIN ST
BRIDGEPORT, CT 06606-4201
Phone number: 203-576-5708
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Mailing Address
-- JESSICA LUCARELLI-RUSSELL APRN
2800 MAIN ST
BRIDGEPORT, CT 06606-4201
Phone number: 203-509-3732
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