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Individual

MISS JILL R ABOULIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1781 HIGHLAND AVENUE, SUITE 106, CHESHIRE, CT 06410-1254
(203) 271-2120
(203) 272-3197
Mailing address
1781 HIGHLAND AVENUE, SUITE 106, CHESHIRE, CT 06410-1254
(203) 271-2120
(203) 272-3197

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2340
CT
363A00000X
Physician Assistant
PA00293
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9004051
RI
Enumeration date
07/23/2006
Last updated
05/19/2010
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