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1245510320
STACEY R BURNS
HARTFORD, CT
NPI
1245510320
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Former Name
STACEY R DWIRE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 23)
Enumeration Date
2011-08-22
Last Update Date
2016-02-16
Business Address
-- STACEY R BURNS PA
114 WOODLAND ST SURGERY
HARTFORD, CT 06105-1208
Phone number: 860-714-4694
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Mailing Address
-- STACEY R BURNS PA
1000 ASYLUM AVE SUITE 2109A
HARTFORD, CT 06105-1770
Phone number: 860-714-6581
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