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1124540174
JAKELL BURGESS
WATERBURY, CT
NPI
1124540174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 7077)
Enumeration Date
2017-07-12
Last Update Date
2017-07-12
Business Address
JAKELL BURGESS FNP
56 FRANKLIN ST
WATERBURY, CT 06706-1253
Phone number: 203-709-6004
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Mailing Address
JAKELL BURGESS FNP
9215 TOWN RDG
MIDDLETOWN, CT 06457-6554
Phone number:
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