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1235463522
KEVIN M O'HARA
NEW HAVEN, CT
NPI
1235463522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 003167)
Enumeration Date
2009-09-20
Last Update Date
2014-12-16
Business Address
Mr. KEVIN M O'HARA PA
1450 CHAPEL ST
NEW HAVEN, CT 06511-4405
Phone number: 203-737-1003
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Mailing Address
Mr. KEVIN M O'HARA PA
PO BOX 208083
NEW HAVEN, CT 06520-8083
Phone number: 203-737-1003
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