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1316626740
AMANDA LYDIA ROUSSEAU
FARMINGTON, CT
NPI
1316626740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-07-13
Last Update Date
2023-10-31
Business Address
AMANDA LYDIA ROUSSEAU PA-C
263 FARMINGTON AVE
FARMINGTON, CT 06030-1814
Phone number: 860-679-2000
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Mailing Address
AMANDA LYDIA ROUSSEAU PA-C
623 FARMINGTON AVENUE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2000
Copy
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