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1972801850
ETHELRENEE MASSO
BRIDGEPORT, CT
NPI
1972801850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 3032461)
Enumeration Date
2011-03-02
Last Update Date
2011-03-02
Business Address
Mrs. ETHELRENEE MASSO LPN
154 CHESTNUT ST
BRIDGEPORT, CT 06604-2640
Phone number: 646-396-9304
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Mailing Address
Mrs. ETHELRENEE MASSO LPN
154 CHESTNUT ST
BRIDGEPORT, CT 06604-2640
Phone number: 646-396-9304
Copy
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