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1215954938
SERGE PETER POULIN
MANCHESTER, CT
NPI
1215954938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CT 027117)
Enumeration Date
2006-07-17
Last Update Date
2010-05-11
Business Address
Mr. SERGE PETER POULIN MD
315 E. CENTER ST
MANCHESTER, CT 06040
Phone number: 860-649-6900
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Mailing Address
Mr. SERGE PETER POULIN MD
315 E. CENTER ST
MANCHESTER, CT 06040
Phone number: 860-649-6900
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