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1013640283
SHANE THOMAS JOY
MANCHESTER, CT
NPI
1013640283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 5749)
Enumeration Date
2022-07-06
Last Update Date
2022-08-24
Business Address
SHANE THOMAS JOY PA-C
256 N MAIN ST
MANCHESTER, CT 06042-2004
Phone number: 860-696-2300
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Mailing Address
SHANE THOMAS JOY PA-C
48 PINEWOOD TRL
DEEP RIVER, CT 06417-1609
Phone number: 860-526-1320
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