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1174711741
MAI KONG XIONG
MIDDLETOWN, CT
NPI
1174711741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CT 045864)
Enumeration Date
2007-10-09
Last Update Date
2007-10-09
Business Address
-- MAI KONG XIONG MD
90 S MAIN ST
MIDDLETOWN, CT 06457-3649
Phone number: 860-344-6300
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Mailing Address
-- MAI KONG XIONG MD
28 AVON CT
MIDDLETOWN, CT 06457-4521
Phone number: 860-344-9571
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