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MR. GRIGORIOS DELAPORTAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
192 TILLEY DR, SOUTH BURLINGTON, VT 05403-4440
(802) 847-7063
Mailing address
425 HILLWOOD DR, BIRMINGHAM, AL 35209-5345
(813) 431-2600

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/18/2012
Last updated
01/18/2012
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