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Individual

MICHELE MIKAELIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
245 AMITY RD, SUITE 111, WOODBRIDGE, CT 06525-2258
(917) 612-3725
Mailing address
14 USHER ST, MILFORD, CT 06460-8148
(917) 612-3725

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8454
CT

Other

Enumeration date
12/21/2011
Last updated
12/21/2011
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