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1811253321
SHAWNA MARIE KETTYLE
BRIDGEPORT, CT
NPI
1811253321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: CT 61673)
Enumeration Date
2012-04-09
Last Update Date
2018-07-27
Business Address
Dr. SHAWNA MARIE KETTYLE M.D.
2800 MAIN ST DEPT OF
BRIDGEPORT, CT 06606
Phone number: 203-576-6000
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Mailing Address
Dr. SHAWNA MARIE KETTYLE M.D.
2800 MAIN ST DEPT OF
BRIDGEPORT, CT 06606-4292
Phone number:
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