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1083151898
BRIAN CLANCY
FAIRFIELD, CT
NPI
1083151898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 3766)
Enumeration Date
2017-01-31
Last Update Date
2017-03-21
Business Address
-- BRIAN CLANCY
425 POST RD
FAIRFIELD, CT 06824-6232
Phone number: 203-292-9000
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Mailing Address
-- BRIAN CLANCY
50 BUNTING RD
SEYMOUR, CT 06483-3829
Phone number:
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