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Individual

MARISSA GAUVAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
540 LITCHFIELD ST, TORRINGTON, CT 06790-6679
(860) 489-7017
Mailing address
132 CATLIN RD, HARWINTON, CT 06791-1806

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5233
CT

Other

Enumeration date
12/28/2020
Last updated
02/29/2024
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