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1326751454
AMANDA KATHRYN FAXON
NEW HAVEN, CT
NPI
1326751454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-01-04
Last Update Date
2023-01-04
Business Address
AMANDA KATHRYN FAXON PA-C
100 CHURCH ST S STE A250
NEW HAVEN, CT 06519-1703
Phone number: 203-785-2860
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Mailing Address
AMANDA KATHRYN FAXON PA-C
PO BOX 208083
NEW HAVEN, CT 06520-8083
Phone number:
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