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1801205463
CARLY GENE STAAB
BRIDGEPORT, CT
NPI
1801205463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 5819)
Enumeration Date
2014-08-07
Last Update Date
2014-08-07
Business Address
-- CARLY GENE STAAB APRN, FNP-BC
982 E MAIN ST
BRIDGEPORT, CT 06608-1913
Phone number: 802-233-1490
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Mailing Address
-- CARLY GENE STAAB APRN, FNP-BC
982 E MAIN ST
BRIDGEPORT, CT 06608-1913
Phone number:
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