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1588340079
ALISA HALL
VERNON, CT
NPI
1588340079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 12034)
Enumeration Date
2023-06-27
Last Update Date
2023-06-27
Business Address
ALISA HALL
206 TALCOTTVILLE RD
VERNON, CT 06066-4617
Phone number: 860-645-1100
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Mailing Address
ALISA HALL
2 TRAIL RUN APT 5210
VERNON, CT 06066-3978
Phone number: 612-840-7887
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