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1215002779
JANIS A. JAQUEZ
WEST HARTFORD, CT
NPI
1215002779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 001743)
Enumeration Date
2006-11-21
Last Update Date
2012-05-23
Business Address
-- JANIS A. JAQUEZ PA
74 PARK RD
WEST HARTFORD, CT 06119-1853
Phone number: 860-218-1725
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Mailing Address
-- JANIS A. JAQUEZ PA
74 PARK RD
WEST HARTFORD, CT 06119-1853
Phone number: 860-218-1725
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