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1730484171
ALLYSSA BAUCOM GRAHAM
NEW HAVEN, CT
NPI
1730484171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CT 004548)
Enumeration Date
2011-01-16
Last Update Date
2011-01-16
Business Address
Ms. ALLYSSA BAUCOM GRAHAM APRN
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-2000
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Mailing Address
Ms. ALLYSSA BAUCOM GRAHAM APRN
123 YORK ST APT 21C
NEW HAVEN, CT 06511-5640
Phone number: 203-393-5325
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