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1972945871
NANCY WALLICK
BRIDGEPORT, CT
NPI
1972945871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CT E40623)
Enumeration Date
2013-07-22
Last Update Date
2013-07-23
Business Address
Ms. NANCY WALLICK CRNA
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3463
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Mailing Address
Ms. NANCY WALLICK CRNA
192 REED ST
STRATFORD, CT 06614-3525
Phone number: 203-521-3508
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