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1336742949
KAITLYN SHORTELL
BRIDGEPORT, CT
NPI
1336742949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 5045)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2020-11-17
Last Update Date
2021-10-05
Business Address
KAITLYN SHORTELL PA-C
2800 MAIN ST
BRIDGEPORT, CT 06606-4201
Phone number: 203-576-6000
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Mailing Address
KAITLYN SHORTELL PA-C
1290 SILAS DEANE HWY HARTFORD HEALTHCARE-CVO
WETHERSFIELD, CT 06109-4337
Phone number:
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