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1588123053
JASON MICHAEL LORCH
HAMDEN, CT
NPI
1588123053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 4760)
Enumeration Date
2019-03-14
Last Update Date
2020-08-07
Business Address
JASON MICHAEL LORCH PA-C
1650 DIXWELL AVE
HAMDEN, CT 06514-3615
Phone number: 203-288-1700
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Mailing Address
JASON MICHAEL LORCH PA-C
1650 DIXWELL AVE
HAMDEN, CT 06514-3615
Phone number: 203-288-1700
Copy
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