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William Keefe

Student in an Organized Health Care Education/Training Program in Orange, CT. Individual provider (NPI-1).

NPI number1699200428
StatusActive
Last updated in NPPESApr 30, 2017

Details

NPI
1699200428
Entity type
Individual (NPI-1)
Name
William Keefe
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 30, 2017
Last updated
Apr 30, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

287 Old Tavern Rd
Orange, CT 06477-3455

Phone 203-506-9683

Mailing address

287 Old Tavern Rd
Orange, CT 06477-3455

Phone 203-506-9683

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Other Student in an Organized Health Care Education/Training Program providers in Orange, CT

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