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1225756752
SUSAN K DESTEFANO
NEW HAVEN, CT
NPI
1225756752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CT 10869)
Enumeration Date
2022-08-19
Last Update Date
2022-08-19
Business Address
SUSAN K DESTEFANO APRN
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-2207
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Mailing Address
SUSAN K DESTEFANO APRN
20 RONALD DR
FAIRFIELD, CT 06825-3627
Phone number: 203-231-3811
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