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1619993334
SARA JANE WALLACE
NEW HAVEN, CT
NPI
1619993334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 001693)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
Mrs. SARA JANE WALLACE PA
1450 CHAPEL ST
NEW HAVEN, CT 06511-4405
Phone number: 203-789-3000
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Mailing Address
Mrs. SARA JANE WALLACE PA
512 SCENIC RD
ORANGE, CT 06477-2127
Phone number:
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