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Individual

AMANDA JANE COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
38 WHIPPLE RD, SOUTH HERO, VT 05486-4900
(802) 372-4020
Mailing address
27 1/2 LAFOUNTAIN ST, BURLINGTON, VT 05401-4236
(802) 999-2023

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
025.0054002
VT

Other

Enumeration date
07/10/2009
Last updated
07/10/2009
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