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1366137564
BROOKE PERO LICHAK
NEW HAVEN, CT
NPI
1366137564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-05
Last Update Date
2023-04-05
Business Address
BROOKE PERO LICHAK MD
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
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Mailing Address
BROOKE PERO LICHAK MD
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
Copy
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