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1902875289
SHINU KURIAKOSE
BRIDGEPORT, CT
NPI
1902875289
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Former Name
SHINU KAIPPAKASERIL
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 001130)
Enumeration Date
2006-03-17
Last Update Date
2007-07-08
Business Address
-- SHINU KURIAKOSE PA-C
226 MILL HILL AVE 3RD FLOOR
BRIDGEPORT, CT 06610-2811
Phone number: 203-384-3873
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Mailing Address
-- SHINU KURIAKOSE PA-C
PO BOX 5246
BRIDGEPORT, CT 06610-0246
Phone number: 203-384-3873
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