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Individual

FATOUMATA BAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
83 GREGORY RD, BRISTOL, CT 06010-3239
(000) 000-0000
Mailing address
83 GREGORY RD, BRISTOL, CT 06010-3239

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12.013008
CT

Other

Enumeration date
03/19/2024
Last updated
03/19/2024
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