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1467494872
SUSAN ST. JACQUES
NEW HAVEN, CT
NPI
1467494872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 000445)
Enumeration Date
2006-06-11
Last Update Date
2007-10-11
Business Address
-- SUSAN ST. JACQUES PA-C
1450 CHAPEL ST
NEW HAVEN, CT 06511-4405
Phone number: 203-789-3011
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Mailing Address
-- SUSAN ST. JACQUES PA-C
33 N MARK DR
OXFORD, CT 06478-1565
Phone number: 203-888-7644
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