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1982072591
SHANNON P KUKULKA
NEW HAVEN, CT
NPI
1982072591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CT 6878)
Enumeration Date
2015-09-14
Last Update Date
2018-01-03
Business Address
SHANNON P KUKULKA APRN
874 HOWARD AVE
NEW HAVEN, CT 06519-1106
Phone number: 203-688-8200
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Mailing Address
SHANNON P KUKULKA APRN
874 HOWARD AVE
NEW HAVEN, CT 06519-1106
Phone number: 203-688-8200
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