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1841810967
DIANA SHAPOVAL
WATERBURY, CT
NPI
1841810967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-04-18
Last Update Date
2020-04-18
Business Address
DIANA SHAPOVAL PA
56 FRANKLIN ST
WATERBURY, CT 06706-1253
Phone number: 203-709-6000
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Mailing Address
DIANA SHAPOVAL PA
30 SEMINARY ST
BRISTOL, CT 06010-5520
Phone number: 908-229-7685
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