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1922078351
SUSAN FAGAN
WEST HARTFORD, CT
NPI
1922078351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 005279)
Enumeration Date
2006-01-26
Last Update Date
2016-09-19
Business Address
-- SUSAN FAGAN PT
1 EMILY WAY
WEST HARTFORD, CT 06107-3136
Phone number: 860-561-7022
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Mailing Address
-- SUSAN FAGAN PT
1 EMILY WAY
WEST HARTFORD, CT 06107-3136
Phone number: 860-561-7022
Copy
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