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Individual

ALEXANDRA LUCIA BAKOVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2416 WHITNEY AVE, HAMDEN, CT 06518-3248
(203) 407-3598
Mailing address
78 OLIVE ST APT 210, NEW HAVEN, CT 06511-6984
(857) 272-4708

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001426
CT
2255A2300X
Athletic Trainer
2340
MA
2255A2300X
Athletic Trainer
AL 4300
FL

Other

Enumeration date
05/06/2016
Last updated
11/19/2024
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