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1740436674
LESLE SPAIN
BRIDGEPORT, CT
NPI
1740436674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT R31784)
Enumeration Date
2008-08-12
Last Update Date
2017-06-12
Business Address
-- LESLE SPAIN
743 SOUTH AVE
BRIDGEPORT, CT 06604-5810
Phone number: 203-330-6000
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Mailing Address
-- LESLE SPAIN
46 ALBION STREET
BRIDGEPORT, CT 06605-2605
Phone number: 203-332-3155
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