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1790567410
LISSETTE E HERNANDEZ
BRIDGEPORT, CT
NPI
1790567410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-10-17
Last Update Date
2023-11-30
Business Address
LISSETTE E HERNANDEZ
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604-4252
Phone number: 203-394-6529
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Mailing Address
LISSETTE E HERNANDEZ
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604-4252
Phone number:
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