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Active
Other names
jacquelyne and william stasonis
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELYNE ANN STASONIS (OWNER)
(203) 639-8000
Entity
Organization

Contact information

Practice address
95 E MAIN ST, B-13, MERIDEN, CT 06450-5652
(203) 639-8000
(203) 639-8000
Mailing address
95 E MAIN ST, B-13, MERIDEN, CT 06450-5652
(203) 639-8000
(203) 639-8000

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
HCA0000371
CT

Other

Enumeration date
06/03/2009
Last updated
07/07/2009
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