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1740851112
SAMIRA FISAYO
NEW LONDON, CT
NPI
1740851112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CT 9774)
Enumeration Date
2021-07-07
Last Update Date
2021-07-07
Business Address
SAMIRA FISAYO
365 MONTAUK AVE
NEW LONDON, CT 06320-4769
Phone number: 860-442-0711
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Mailing Address
SAMIRA FISAYO
725 NORTONTOWN RD
GUILFORD, CT 06437-4728
Phone number: 203-747-9858
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