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1285190462
KEREN MARIAM JOHN
NEW LONDON, CT
NPI
1285190462
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Former Name
KEREN MARIAM PAUL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 4523)
Enumeration Date
2019-02-13
Last Update Date
2024-04-19
Business Address
KEREN MARIAM JOHN PA- Certified
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 860-442-0711
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Mailing Address
KEREN MARIAM JOHN PA- Certified
COMMUNITY HEALTH CENTER 675 MAIN STREET
MIDDLETOWN, CT 06457
Phone number: 516-510-4160
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