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1922074020
KENNETH LEE WICHMAN
MANCHESTER, CT
NPI
1922074020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: CT 0224)
Enumeration Date
2006-02-27
Last Update Date
2007-12-28
Business Address
Dr. KENNETH LEE WICHMAN DPM
117 E CENTER ST
MANCHESTER, CT 06040-5203
Phone number: 860-649-3338
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Mailing Address
Dr. KENNETH LEE WICHMAN DPM
117 E CENTER ST
MANCHESTER, CT 06040-5203
Phone number: 860-649-3338
Copy
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