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1467291179
CHANELLE BRUSSEAU
NEW HAVEN, CT
NPI
1467291179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 6673)
Enumeration Date
2024-05-22
Last Update Date
2024-08-05
Business Address
CHANELLE BRUSSEAU
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
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Mailing Address
CHANELLE BRUSSEAU
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
Copy
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