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1235904236
BROOKE MACKENZIE DONNELLAN
BRIDGEPORT, CT
NPI
1235904236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 6495)
Enumeration Date
2023-11-20
Last Update Date
2024-03-27
Business Address
BROOKE MACKENZIE DONNELLAN
2800 MAIN ST
BRIDGEPORT, CT 06606-4292
Phone number: 203-576-6000
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Mailing Address
BROOKE MACKENZIE DONNELLAN
26 HUNTS BROOK RD
QUAKER HILL, CT 06375-1009
Phone number:
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