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1992093603
CASEY KEENAN
BRIDGEPORT, CT
NPI
1992093603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 2594)
Enumeration Date
2011-07-14
Last Update Date
2020-03-11
Business Address
Mr. CASEY KEENAN
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3235
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Mailing Address
Mr. CASEY KEENAN
164 HOME ACRES AVE C/O SUMMIT REHAB CONSULTANTS PLLC
MILFORD, CT 06460-3518
Phone number: 203-296-2016
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