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1003425331
RYAN KEENAN
BRIDGEPORT, CT
NPI
1003425331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 12.008970)
Enumeration Date
2020-07-22
Last Update Date
2022-01-30
Business Address
RYAN KEENAN PMHNP
267 GRANT ST
BRIDGEPORT, CT 06610-2870
Phone number: 203-384-3000
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Mailing Address
RYAN KEENAN PMHNP
132 STONEWALL DR
HAMDEN, CT 06518-1123
Phone number: 203-605-0152
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