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1952855942
MARISSA LAVIN
STRATFORD, CT
NPI
1952855942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 6635)
Enumeration Date
2016-08-08
Last Update Date
2017-01-11
Business Address
-- MARISSA LAVIN APRN
95 ARMORY RD
STRATFORD, CT 06614-1753
Phone number: 203-384-3388
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Mailing Address
-- MARISSA LAVIN APRN
C/O NORTHEAST MEDICAL GROUP, INC. 226 MILL HILL AVE., 3RD FLOOR
BRIDGEPORT, CT 06610-2826
Phone number: 203-384-3388
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