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Individual

ALISHA BOURASSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(203) 915-5701
Mailing address
79R WILDWOOD CIR, DURHAM, CT 06422-2605
(203) 915-5701

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
076422
CT

Other

Enumeration date
09/29/2010
Last updated
07/21/2022
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