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1891217022
LISA C RUSSO
WEST HAVEN, CT
NPI
1891217022
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Former Name
LISA C MAGISTRO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 7045)
Enumeration Date
2017-07-10
Last Update Date
2023-04-18
Business Address
LISA C RUSSO APRN
1 CELLINI PL STE 102
WEST HAVEN, CT 06516-1666
Phone number: 203-932-6481
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Mailing Address
LISA C RUSSO APRN
38 RICHILL RD
BRANFORD, CT 06405-2604
Phone number: 203-871-9975
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