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1245364017
JONATHAN PETER KONECNY
BRIDGEPORT, CT
NPI
1245364017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: CT 000762)
Additional Taxonomies
111NR0400X
(Licence: CT 000762)
Enumeration Date
2007-03-15
Last Update Date
2010-04-07
Business Address
Dr. JONATHAN PETER KONECNY DC
2140 PARK AVE
BRIDGEPORT, CT 06604-1915
Phone number: 203-334-4448
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Mailing Address
Dr. JONATHAN PETER KONECNY DC
2140 PARK AVE
BRIDGEPORT, CT 06604-1915
Phone number: 203-334-4448
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