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Individual

JOHN MICHAEL DUFRESNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002017
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080002017CT01
BCBS
01
0V1735
HEALTHNET
01
37401
CIGNA
01
897715
AETNA
01
A531345
OXFORD
Enumeration date
08/31/2006
Last updated
07/08/2007
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