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1528897022
KETANIA MARIE CHARLES
HARTFORD, CT
NPI
1528897022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 13544)
Enumeration Date
2024-07-31
Last Update Date
2024-10-20
Business Address
Mrs. KETANIA MARIE CHARLES
500 ALBANY AVE
HARTFORD, CT 06120-2508
Phone number: 860-249-9625
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Mailing Address
Mrs. KETANIA MARIE CHARLES
48 COLLIER CIR
HAMDEN, CT 06518-2002
Phone number: 347-822-7285
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