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1740684901
CHARYSSE JOHNSON
WEST HARTFORD, CT
NPI
1740684901
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Former Name
CHARYSSE BROWN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 3209)
Enumeration Date
2014-10-17
Last Update Date
2016-03-31
Business Address
-- CHARYSSE JOHNSON PA-C
1030 BOULEVARD
WEST HARTFORD, CT 06119-1801
Phone number: 860-986-6440
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Mailing Address
-- CHARYSSE JOHNSON PA-C
18 TOWNLEY ST APT H3
HARTFORD, CT 06105-1864
Phone number: 917-302-5899
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