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1063589547
KEVIN STRATFORD
BRIDGEPORT, CT
NPI
1063589547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 001160)
Enumeration Date
2006-11-29
Last Update Date
2012-03-20
Business Address
Mr. KEVIN STRATFORD PA-C
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3566
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Mailing Address
Mr. KEVIN STRATFORD PA-C
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number:
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