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1104868256
SUSAN FAIR
NEW HAVEN, CT
NPI
1104868256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 000082)
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
Ms. SUSAN FAIR P.A.-C.
175 SHERMAN AVE FIFTH FLOOR
NEW HAVEN, CT 06511-4301
Phone number: 203-789-3392
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Mailing Address
Ms. SUSAN FAIR P.A.-C.
24 WOODWARD AVE UNIT 61
NEW HAVEN, CT 06512-3659
Phone number: 203-467-8440
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