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1063797934
KENNETH PASSAN
HARTFORD, CT
NPI
1063797934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CT E53156)
Enumeration Date
2011-10-11
Last Update Date
2013-09-30
Business Address
-- KENNETH PASSAN
1680 ALBANY AVE
HARTFORD, CT 06105-1001
Phone number: 860-236-4511
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Mailing Address
-- KENNETH PASSAN
1680 ALBANY AVE
HARTFORD, CT 06105-1001
Phone number: 860-236-4511
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