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1669669727
KELLY ROUSSEAU
HARTFORD, CT
NPI
1669669727
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Former Name
KELLY BIAFORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
Enumeration Date
2007-10-02
Last Update Date
2013-09-23
Business Address
KELLY ROUSSEAU PA
114 WOODLAND ST DEPARTMENT OF SURGERY
HARTFORD, CT 06105-1208
Phone number: 860-714-4694
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Mailing Address
KELLY ROUSSEAU PA
114 WOODLAND ST DEPARTMENT OF SURGERY
HARTFORD, CT 06105-1208
Phone number: 860-714-4694
Copy
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