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1134584535
SHAZI ALI
BRIDGEPORT, CT
NPI
1134584535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CT 6424)
Enumeration Date
2015-12-29
Last Update Date
2015-12-30
Business Address
SHAZI ALI
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3000
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Mailing Address
SHAZI ALI
258 STONEHOUSE RD
TRUMBULL, CT 06611-1626
Phone number: 203-339-1635
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