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1659306314
MARISA LOUISE SHAKER
WATERBURY, CT
NPI
1659306314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 001133)
Enumeration Date
2006-07-11
Last Update Date
2022-09-23
Business Address
MARISA LOUISE SHAKER PA
56 FRANKLIN ST
WATERBURY, CT 06706-1221
Phone number: 203-709-3538
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Mailing Address
MARISA LOUISE SHAKER PA
PO BOX 1090
WINDSOR, CT 06095-6190
Phone number: 203-709-3800
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