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1174514558
KACIE R CARLSON
NEW HAVEN, CT
NPI
1174514558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2005-11-03
Last Update Date
2008-12-05
Business Address
-- KACIE R CARLSON PA-C
15 YORK ST
NEW HAVEN, CT 06510-3221
Phone number: 203-785-4632
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Mailing Address
-- KACIE R CARLSON PA-C
PO BOX 9805 300 GEORGE ST, 6TH FLOOR
NEW HAVEN, CT 06536-0805
Phone number:
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