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1740277797
WILLIAM GEORGE BROADHURST
BROOKFIELD, CT
NPI
1740277797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 001092)
Enumeration Date
2005-10-04
Last Update Date
2010-10-28
Business Address
MR. WILLIAM GEORGE BROADHURST PAC
60 OLD NEW MILFORD RD SUITE 3E
BROOKFIELD, CT 06804-2430
Phone number: 203-775-6205
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Mailing Address
MR. WILLIAM GEORGE BROADHURST PAC
60 OLD NEW MILFORD RD SUITE 3E
BROOKFIELD, CT 06804-2430
Phone number: 203-775-6205
Copy
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