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1154357671
MICHELLE MARIE LACHANCE
WATERBURY, CT
NPI
1154357671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 001383)
Enumeration Date
2006-06-25
Last Update Date
2007-09-12
Business Address
-- MICHELLE MARIE LACHANCE PA
56 FRANKLIN ST
WATERBURY, CT 06706-1221
Phone number: 203-709-6004
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Mailing Address
-- MICHELLE MARIE LACHANCE PA
56 FRANKLIN ST 3RD FLOOR
WATERBURY, CT 06706-1221
Phone number: 203-709-8873
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