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1144247966
ISABEL MARGUERITE BRODERSEN
WATERBURY, CT
NPI
1144247966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 000155)
Enumeration Date
2006-07-16
Last Update Date
2007-09-11
Business Address
-- ISABEL MARGUERITE BRODERSEN PA
56 FRANKLIN ST
WATERBURY, CT 06706-1221
Phone number: 203-709-3538
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Mailing Address
-- ISABEL MARGUERITE BRODERSEN PA
56 FRANKLIN ST 3RD FLOOR
WATERBURY, CT 06706-1221
Phone number: 203-709-8873
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