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Individual
MICHAEL CHARRY
Active
Individual
MICHAEL CHARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
109834
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7306
CT
Other
Enumeration date
03/25/2013
Last updated
03/27/2018
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