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1225006505
MIRIAM VITALE
WEST HAVEN, CT
NPI
1225006505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 000691)
Enumeration Date
2006-03-10
Last Update Date
2007-10-01
Business Address
Ms. MIRIAM VITALE PA-C
950 CAMPBELL AVE PSYCH PRIMARY CARE
WEST HAVEN, CT 06516-2770
Phone number: 203-932-5711
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Mailing Address
Ms. MIRIAM VITALE PA-C
950 CAMPBELL AVE PSYCH PRIMARY CARE
WEST HAVEN, CT 06516-2770
Phone number: 203-932-5711
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