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1821122698
SUSAN MOLDE
NEW HAVEN, CT
NPI
1821122698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CT 001232)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Ms. SUSAN MOLDE APRN
40 ALBERT ST
NEW HAVEN, CT 06511-1542
Phone number: 203-865-0068
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Mailing Address
Ms. SUSAN MOLDE APRN
394 CENTRAL AVE
NEW HAVEN, CT 06515-2250
Phone number: 203-389-1696
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