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JUSTIN JEFFREY LEWIS STAIRS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
5 N MAIN ST, WALLINGFORD, VT 05773-9748
(978) 971-6759
Mailing address
PO BOX #5, WALLINGFORD, VT 05773

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/29/2025
Last updated
07/29/2025
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