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1851805832
FELISHA MACK
BRIDGEPORT, CT
NPI
1851805832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 007383)
Enumeration Date
2017-11-28
Last Update Date
2017-11-28
Business Address
FELISHA MACK
1635 CENTRAL AVE
BRIDGEPORT, CT 06610-2717
Phone number: 475-439-9331
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Mailing Address
FELISHA MACK
1635 CENTRAL AVE
BRIDGEPORT, CT 06610-2717
Phone number: 475-439-9331
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