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1164869137
ALICIA BRAVO
WETHERSFIELD, CT
NPI
1164869137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CT 5359)
Enumeration Date
2013-05-30
Last Update Date
2013-05-30
Business Address
Ms. ALICIA BRAVO ANP-BC
692 PROSPECT ST
WETHERSFIELD, CT 06109-3544
Phone number: 860-478-8877
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Mailing Address
Ms. ALICIA BRAVO ANP-BC
692 PROSPECT ST
WETHERSFIELD, CT 06109-3544
Phone number: 860-563-5145
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