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1609056944
AMANDA R COPPOLA
BRIDGEPORT, CT
NPI
1609056944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 003696)
Enumeration Date
2007-11-04
Last Update Date
2008-07-27
Business Address
-- AMANDA R COPPOLA APRN
4699 MAIN ST
BRIDGEPORT, CT 06606-1830
Phone number: 203-452-8322
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Mailing Address
-- AMANDA R COPPOLA APRN
25 SHELTER ROCK RD
TRUMBULL, CT 06611-3324
Phone number:
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