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1831758366
KELLY RUIZ
HARTFORD, CT
NPI
1831758366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 1163512)
Enumeration Date
2019-06-09
Last Update Date
2019-06-09
Business Address
KELLY RUIZ PA
21 GRAND ST
HARTFORD, CT 06106-1541
Phone number: 860-550-7500
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Mailing Address
KELLY RUIZ PA
7 KENT LN
BLOOMFIELD, CT 06002-1326
Phone number: 860-713-9655
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