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1619367141
JESSICA GONZALEZ
DERBY, CT
NPI
1619367141
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Former Name
JESSICA LAVACCA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 3294)
Enumeration Date
2015-02-04
Last Update Date
2023-03-01
Business Address
MISS JESSICA GONZALEZ PA-C
130 DIVISION ST
DERBY, CT 06418-1326
Phone number: 203-732-7252
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Mailing Address
MISS JESSICA GONZALEZ PA-C
67 MAPLE AVE
DERBY, CT 06418-1328
Phone number:
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