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Individual

STACEY COOLEY BARDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 364-8253
Mailing address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
71480
CT

Other

Enumeration date
10/15/2021
Last updated
10/15/2021
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