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1770112260
KATHERINE MARIE VAILLANCOURT
STAMFORD, CT
NPI
1770112260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CT 75322)
Enumeration Date
2020-04-06
Last Update Date
2023-07-11
Business Address
KATHERINE MARIE VAILLANCOURT MD
805 ATLANTIC ST
STAMFORD, CT 06902-6805
Phone number: 203-327-5111
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Mailing Address
KATHERINE MARIE VAILLANCOURT MD
805 ATLANTIC ST
STAMFORD, CT 06902-6805
Phone number: 203-327-5111
Copy
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