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1407463235
JENNA KAITLYN PARKS
OLD SAYBROOK, CT
NPI
1407463235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 4968)
Enumeration Date
2020-09-25
Last Update Date
2024-08-27
Business Address
JENNA KAITLYN PARKS PA-C
154 MAIN ST
OLD SAYBROOK, CT 06475-2373
Phone number: 860-358-4130
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Mailing Address
JENNA KAITLYN PARKS PA-C
16 MILL PLAIN RD UNIT B
BRANFORD, CT 06405-2710
Phone number: 860-682-0851
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