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1528669181
MARISOL ORTH
NEW HAVEN, CT
NPI
1528669181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 9312)
Enumeration Date
2020-11-02
Last Update Date
2020-11-02
Business Address
MARISOL ORTH
374 GRAND AVE
NEW HAVEN, CT 06513-3733
Phone number: 203-777-7411
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Mailing Address
MARISOL ORTH
374 GRAND AVE
NEW HAVEN, CT 06513-3733
Phone number: 203-777-7411
Copy
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