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1700107083
SHANNON SCULLY MICHEL
NEW HAVEN, CT
NPI
1700107083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CT 63824)
Enumeration Date
2010-06-21
Last Update Date
2019-08-22
Business Address
SHANNON SCULLY MICHEL D.O.
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-785-2802
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Mailing Address
SHANNON SCULLY MICHEL D.O.
333 CEDAR ST # STREET3
NEW HAVEN, CT 06510-3206
Phone number: 203-785-2802
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