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1629783964
COREY KYLE MALAN
NORTH HAVEN, CT
NPI
1629783964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 11403)
Enumeration Date
2023-01-20
Last Update Date
2024-10-31
Business Address
COREY KYLE MALAN
392 STATE ST APT 8K
NORTH HAVEN, CT 06473-3140
Phone number: 860-977-2450
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Mailing Address
COREY KYLE MALAN
119 FOREST HILL RD
NORTH HAVEN, CT 06473-4301
Phone number: 860-977-2450
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