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Individual

MS. DEBRA AUGUST KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA, PHD

Contact information

Practice address
540 SAYBROOK RD STE 100, MIDDLETOWN, CT 06457-4760
(860) 358-2850
(860) 358-8698
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3650
(860) 358-6000
(860) 358-8661

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
005445
NY
363AS0400X
Surgical Physician Assistant
Primary
548
CT

Other

Enumeration date
01/18/2008
Last updated
09/04/2025
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