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1427514611
RESHMA S CHACKO
BRIDGEPORT, CT
NPI
1427514611
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Former Name
RESHMA S FERNANDES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CT 8097)
Enumeration Date
2019-02-13
Last Update Date
2019-07-02
Business Address
Mrs. RESHMA S CHACKO AGPCNP-BC
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-909-8533
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Mailing Address
Mrs. RESHMA S CHACKO AGPCNP-BC
2121 WHITNEY AVE
NORTH HAVEN, CT 06473-4359
Phone number: 203-909-8533
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