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1235660267
KETTLY CASSAMAJOR
BRIDGEPORT, CT
NPI
1235660267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 12.006973)
Enumeration Date
2017-03-22
Last Update Date
2023-03-09
Business Address
KETTLY CASSAMAJOR
4920 MAIN ST STE 302
BRIDGEPORT, CT 06606-1300
Phone number: 475-210-4960
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Mailing Address
KETTLY CASSAMAJOR
1290 SILAS DEANE HWY HARTFORD HEALTHCARE-CVO
WETHERSFIELD, CT 06109-4337
Phone number:
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