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1497888002
SUSAN MARY HART JOHNSON
VERNON, CT
NPI
1497888002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 000687)
Enumeration Date
2007-03-13
Last Update Date
2021-06-25
Business Address
SUSAN MARY HART JOHNSON PA-C
30 HYDE AVE STE 109
VERNON, CT 06066-4503
Phone number: 860-454-0303
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Mailing Address
SUSAN MARY HART JOHNSON PA-C
30 JORDAN LN
WETHERSFIELD, CT 06109-1278
Phone number: 860-263-0253
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