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Individual
COREY JAMES DUTEAU
Active
Individual
COREY JAMES DUTEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033-0003368
VT
183500000X
Pharmacist
045591-1
NY
Other
Enumeration date
04/02/2006
Last updated
01/14/2020
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