KIRK DAVID BLAIS

MANCHESTER, CT
NPI1437593803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CO  DR.0059214)
Enumeration Date2013-04-29
Last Update Date2020-04-01
Business Address
KIRK DAVID BLAIS
71 HAYNES ST
MANCHESTER, CT 06040-4131
Phone number: 860-533-6559
Mailing Address
KIRK DAVID BLAIS
71 HAYNES ST
MANCHESTER, CT 06040-4131
Phone number: 860-533-6559
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