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1568795094
KELLY M BUCCI-DIDOMENICO
BRIDGEPORT, CT
NPI
1568795094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 1809)
Enumeration Date
2009-09-16
Last Update Date
2021-12-09
Business Address
KELLY M BUCCI-DIDOMENICO
479 HELEN ST
BRIDGEPORT, CT 06608-1321
Phone number: 203-579-8310
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Mailing Address
KELLY M BUCCI-DIDOMENICO
471 BARNUM AVE
BRIDGEPORT, CT 06608-2409
Phone number: 203-576-3885
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