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1326326968
SHINE KOCHUKUNJU RAJU
FARMINGTON, CT
NPI
1326326968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-08-01
Last Update Date
2014-04-01
Business Address
Dr. SHINE KOCHUKUNJU RAJU M.B.B.S.
UCONN HEALTH CTR 263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 516-943-2400
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Mailing Address
Dr. SHINE KOCHUKUNJU RAJU M.B.B.S.
83 LEAFWOOD LN APT 220
GROTON, CT 06340-6250
Phone number: 516-943-2400
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