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1588121354
JASON MICHAEL NIES
NEW HAVEN, CT
NPI
1588121354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 4499)
Enumeration Date
2019-02-27
Last Update Date
2019-07-14
Business Address
JASON MICHAEL NIES PA
20 YORK ST # 218
NEW HAVEN, CT 06510-3220
Phone number: 203-688-2222
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Mailing Address
JASON MICHAEL NIES PA
464 CONGRESS AVE STE 260
NEW HAVEN, CT 06519-1362
Phone number:
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