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1194771758
HOLLY R BASHURA
BRIDGEPORT, CT
NPI
1194771758
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Former Name
HOLLY KUMMER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 002970)
Enumeration Date
2006-05-25
Last Update Date
2007-09-11
Business Address
-- HOLLY R BASHURA APRN
4699 MAIN ST SUITE 105
BRIDGEPORT, CT 06606-1830
Phone number: 203-374-6162
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Mailing Address
-- HOLLY R BASHURA APRN
4699 MAIN ST SUITE 105
BRIDGEPORT, CT 06606-1830
Phone number: 203-374-6162
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