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1265054779
BERTILLE KUISSO PONKAM
WINSTON SALEM, NC
NPI
1265054779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174H00000X Health Educator
Enumeration Date
2020-05-07
Last Update Date
2023-11-27
Business Address
BERTILLE KUISSO PONKAM
615 SAINT GEORGE SQUARE CT STE 300
WINSTON SALEM, NC 27103-1368
Phone number: 203-683-5946
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Mailing Address
BERTILLE KUISSO PONKAM
1000 LAFAYETTE BLVD STE 1100
BRIDGEPORT, CT 06604-4710
Phone number: 203-683-5946
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