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1720711005
SOPHIA COLLINS
NEW LONDON, CT
NPI
1720711005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: CT 6172)
Enumeration Date
2022-07-05
Last Update Date
2024-05-28
Business Address
SOPHIA COLLINS
365 MONTAUK AVE
NEW LONDON, CT 06320-4769
Phone number: 860-442-0711
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Mailing Address
SOPHIA COLLINS
365 MONTAUK AVE
NEW LONDON, CT 06320-4769
Phone number:
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