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1659724961
JENNIFER DEDOMINICIS
NEW HAVEN, CT
NPI
1659724961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 23.003602)
Enumeration Date
2016-07-21
Last Update Date
2020-06-24
Business Address
Mrs. JENNIFER DEDOMINICIS PA
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-645-9324
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Mailing Address
Mrs. JENNIFER DEDOMINICIS PA
5 ROSE LN
NORTH HAVEN, CT 06473-2128
Phone number: 203-710-7154
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