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Organization
UNITED STATES AIR FORCE
Active
Organization
UNITED STATES AIR FORCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON DION CHANCE M.A. (CLINICAL PSYCHOLOGY DOCTORAL STUDEN)
(203) 347-5504
Entity
Organization
Contact information
Practice address
15 HIGHLAND ST APT 102, WEST HARTFORD, CT 06119-1300
(203) 347-5504
Mailing address
15 HIGHLAND ST APT 102, WEST HARTFORD, CT 06119-1300
(203) 347-5504
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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