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Individual
WAYNE VILLENEUVE
Active
Individual
WAYNE VILLENEUVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003658
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068910
BCBS
VT
01
—
389334
MVP
VT
Enumeration date
12/04/2006
Last updated
04/16/2013
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