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1518737816
ILENA SOPHIA KISCIRAS
NORWALK, CT
NPI
1518737816
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Other Name
LENA SOPHIA KISCIRAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 21332340)
Enumeration Date
2024-01-08
Last Update Date
2024-03-12
Business Address
ILENA SOPHIA KISCIRAS NP
761 MAIN AVE BLDG A
NORWALK, CT 06851-1080
Phone number: 203-810-4151
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Mailing Address
ILENA SOPHIA KISCIRAS NP
100 BRIDLE TRL
RIDGEFIELD, CT 06877-1404
Phone number: 203-837-6878
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