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1811097520
LISA M VANTY
WETHERSFIELD, CT
NPI
1811097520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 000150)
Enumeration Date
2006-09-23
Last Update Date
2010-01-12
Business Address
-- LISA M VANTY P.A.
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109-4229
Phone number: 860-696-2400
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Mailing Address
-- LISA M VANTY P.A.
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109-4229
Phone number: 860-696-2400
Copy
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