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Individual
JULIE PAULINE GIFFIN
Active
Individual
JULIE PAULINE GIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003412
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00058984
VT BLUE CROSS BLUE SHIELD
VT
05
—
DVN2233
—
VT
Enumeration date
05/04/2006
Last updated
06/30/2009
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