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1518704030
KACPER KISALA
ENFIELD, CT
NPI
1518704030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 6665)
Enumeration Date
2024-07-11
Last Update Date
2024-07-19
Business Address
KACPER KISALA PA-C
148 HAZARD AVE
ENFIELD, CT 06082-4520
Phone number: 860-763-7650
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Mailing Address
KACPER KISALA PA-C
14 SAM WEST RD
SOUTHWICK, MA 01077-9734
Phone number: 413-250-1604
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