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1780267153
KELLY M PARKER
BRIDGEPORT, CT
NPI
1780267153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 12.009662)
Enumeration Date
2021-05-03
Last Update Date
2021-05-03
Business Address
KELLY M PARKER FNP-BC
754 CLINTON AVE
BRIDGEPORT, CT 06604-2369
Phone number: 203-923-2204
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Mailing Address
KELLY M PARKER FNP-BC
6 PLEASANT VILLAGE DR
SUCCASUNNA, NJ 07876-1144
Phone number: 862-812-6412
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