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ALLISON DUSSAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
32 CHICAGO AVE, GROTON, CT 06340-4962
(860) 629-8272
Mailing address
32 CHICAGO AVE, GROTON, CT 06340-4962
(860) 629-8272

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
5773
CT
363LG0600X
Gerontology Nurse Practitioner
5773
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
5773
CT

Other

Enumeration date
07/03/2014
Last updated
03/30/2023
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