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1124383112
ANDREA LAGASSE
MANCHESTER, CT
NPI
1124383112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 2766)
Enumeration Date
2012-07-06
Last Update Date
2014-11-25
Business Address
Miss ANDREA LAGASSE PA-C
71 HAYNES ST
MANCHESTER, CT 06040-4131
Phone number: 401-837-1018
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Mailing Address
Miss ANDREA LAGASSE PA-C
20 GREENMEADOW LN
GRANBY, MA 01033-9594
Phone number: 401-837-1018
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