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Individual
DEAN D MEASECK
Active
Individual
DEAN D MEASECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0550030248
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002380
—
VT
01
—
932666
MVP
VT
01
—
ORTH19364
BCBS
VT
Enumeration date
08/26/2005
Last updated
01/25/2008
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