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1952497091
LAKIN H SHOSTAK
FAIRFIELD, CT
NPI
1952497091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 000801)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
Mrs. LAKIN H SHOSTAK PAC
1305 POST RD #103
FAIRFIELD, CT 06824
Phone number: 203-319-0700
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Mailing Address
Mrs. LAKIN H SHOSTAK PAC
138 FIGLAR AVE
FAIRFIELD, CT 06824
Phone number: 203-255-5875
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