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Individual

MS. ABIGAIL ROSE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
173 S MAIN ST, RUTLAND, VT 05701-4713
(802) 772-4165
(802) 855-8489
Mailing address
74 PLEASANT ST, STE 204, NEW LONDON, NH 03257-5881
(802) 772-4165
(802) 855-8489

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031067
VT
363AM0700X
Medical Physician Assistant
055-0031067
VT
363AM0700X
Medical Physician Assistant
2244
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
44485018
CO
05
9000489
VT
Enumeration date
07/23/2006
Last updated
05/28/2021
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