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1174967186
LAURA KISSANE
WATERBURY, CT
NPI
1174967186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 002905)
Enumeration Date
2013-04-21
Last Update Date
2015-08-11
Business Address
-- LAURA KISSANE PA-C
64 ROBBINS ST
WATERBURY, CT 06708-2613
Phone number: 203-573-6000
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Mailing Address
-- LAURA KISSANE PA-C
630 PLANTATION ST WOT 12TH FL
WORCESTER, MA 01605-2038
Phone number: 774-261-1379
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