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1245647486
LISSETTE I CRUZ
BRIDGEPORT, CT
NPI
1245647486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 003107)
Enumeration Date
2014-07-21
Last Update Date
2015-04-20
Business Address
Mrs. LISSETTE I CRUZ PA-c
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605-1200
Phone number: 203-579-5000
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Mailing Address
Mrs. LISSETTE I CRUZ PA-c
259 LIGHT ST
STRATFORD, CT 06614-5233
Phone number: 203-583-5976
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