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1346063765
ALIA BEATRICE DANIELLE MOSTAFA
TRUMBULL, CT
NPI
1346063765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CT 14102)
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
ALIA BEATRICE DANIELLE MOSTAFA APRN
10 BROADWAY
TRUMBULL, CT 06611-1367
Phone number: 203-923-3147
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Mailing Address
ALIA BEATRICE DANIELLE MOSTAFA APRN
59 CARRIAGE DR
MILFORD, CT 06460-7556
Phone number: 203-923-3147
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