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1912920695
KATHY E DELUCIA
FAIRFIELD, CT
NPI
1912920695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 000130)
Enumeration Date
2006-07-25
Last Update Date
2017-03-30
Business Address
-- KATHY E DELUCIA PA
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825-5508
Phone number: 203-337-2600
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Mailing Address
-- KATHY E DELUCIA PA
305 BLACK ROCK TPKE OSG
FAIRFIELD, CT 06825-5508
Phone number: 203-337-2600
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