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1235468232
LISA DANIELLE MCCOY
GLASTONBURY, CT
NPI
1235468232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CT 2-010176)
Enumeration Date
2009-12-22
Last Update Date
2009-12-22
Business Address
DR. LISA DANIELLE MCCOY
3043A MAIN STREET
GLASTONBURY, CT 06033
Phone number: 860-657-9212
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Mailing Address
DR. LISA DANIELLE MCCOY
126 HOYT ST APT 5B
STAMFORD, CT 06905-5765
Phone number: 734-395-7546
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