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1962022129
BRANDON ITO
MERIDEN, CT
NPI
1962022129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 5422)
Enumeration Date
2020-04-17
Last Update Date
2021-10-27
Business Address
BRANDON ITO PA-C
455 LEWIS AVE STE 221
MERIDEN, CT 06451-2121
Phone number: 203-694-8550
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Mailing Address
BRANDON ITO PA-C
1290 SILAS DEANE HWY HARTFORD HEALTHCARE-CVO
WETHERSFIELD, CT 06109-4337
Phone number:
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