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1386770337
NANCY CANTEY BANASIAK
NEW HAVEN, CT
NPI
1386770337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CT 000926)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Prof. NANCY CANTEY BANASIAK APRN, BC
789 HOWARD AVE
NEW HAVEN, CT 06519-1304
Phone number: 203-737-2417
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Mailing Address
Prof. NANCY CANTEY BANASIAK APRN, BC
66 QUAIL RUN
MADISON, CT 06443-1900
Phone number: 203-737-2417
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