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1174904387
EKA RUSADZE
BRIDGEPORT, CT
NPI
1174904387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CT 104053)
Enumeration Date
2015-06-12
Last Update Date
2015-06-12
Business Address
-- EKA RUSADZE CRNA
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3174
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Mailing Address
-- EKA RUSADZE CRNA
7365 MAIN ST SUITE 310
STRATFORD, CT 06614-1300
Phone number: 203-384-3632
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