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1417336025
KELLY PROULX
AVON, CT
NPI
1417336025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: CT 009332)
Enumeration Date
2015-05-28
Last Update Date
2015-05-28
Business Address
-- KELLY PROULX PT
49 W MAIN ST
AVON, CT 06001-3717
Phone number: 860-284-9779
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Mailing Address
-- KELLY PROULX PT
49 W MAIN ST
AVON, CT 06001-3717
Phone number: 860-284-9779
Copy
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