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1114447190
IVONNE ELIZABETH JUAREZ-CHAVEZ
MIDDLETOWN, CT
NPI
1114447190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 3883)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2017-06-21
Last Update Date
2021-11-04
Business Address
IVONNE ELIZABETH JUAREZ-CHAVEZ
896 WASHINGTON ST
MIDDLETOWN, CT 06457-2912
Phone number: 860-788-3632
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Mailing Address
IVONNE ELIZABETH JUAREZ-CHAVEZ
304 NOTT ST
WETHERSFIELD, CT 06109-1623
Phone number: 860-338-9477
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