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1295925956
MELANIE JEAN KOUMENTAKOS
ENFIELD, CT
NPI
1295925956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 001905)
Enumeration Date
2007-07-30
Last Update Date
2013-03-27
Business Address
Mrs. MELANIE JEAN KOUMENTAKOS PA C
113 ELM ST SUITE 304
ENFIELD, CT 06082
Phone number: 860-741-2225
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Mailing Address
Mrs. MELANIE JEAN KOUMENTAKOS PA C
113 ELM ST SUITE 304
ENFIELD, CT 06082
Phone number: 860-741-2225
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