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Individual

BRYAN D SMEDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HEALTH SERVICE TECH

Contact information

Practice address
15 MOHEGAN AVE, MEDICAL CLINIC, NEW LONDON, CT 06320-8100
(860) 444-8402
(860) 444-8412
Mailing address
330 CRYSTAL AVE UNIT 14, NEW LONDON, CT 06320-6541
(425) 249-4145

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
09/28/2006
Last updated
06/22/2009
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