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1366260002
LIN MY PHAN
SOUTH WINDSOR, CT
NPI
1366260002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
LIN MY PHAN PA-C
162 HILLSIDE DR
SOUTH WINDSOR, CT 06074-1306
Phone number: 860-944-5680
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Mailing Address
LIN MY PHAN PA-C
162 HILLSIDE DR
SOUTH WINDSOR, CT 06074-1306
Phone number: 860-944-5680
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