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1982858999
RYAN F MAKUCK
STAFFORD SPRINGS, CT
NPI
1982858999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 002203)
Enumeration Date
2008-11-05
Last Update Date
2008-11-05
Business Address
RYAN F MAKUCK PA-C
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076-4005
Phone number: 860-749-2201
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Mailing Address
RYAN F MAKUCK PA-C
3334 TOWN BROOKE
MIDDLETOWN, CT 06457-6611
Phone number: 860-632-8191
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