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1174629679
ERIK LIBBY
GLASTONBURY, CT
NPI
1174629679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 001592)
Enumeration Date
2006-09-15
Last Update Date
2008-08-15
Business Address
-- ERIK LIBBY PA
84 GLASTONBURY BLVD
GLASTONBURY, CT 06033
Phone number: 860-652-8883
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Mailing Address
-- ERIK LIBBY PA
84 GLASTONBURY BLVD
GLASTONBURY, CT 06033-4468
Phone number: 860-652-8883
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