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Individual

JAMES BENTLEY HOLLINSHEAD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
3 ALBERT CREE DR, RUTLAND, VT 05701-4601
(802) 775-2937
(802) 773-0934
Mailing address
3 ALBERT CREE DR, RUTLAND, VT 05701-4601
(802) 775-2937
(802) 773-0934

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
30363
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00028647
BCBS
Enumeration date
09/19/2005
Last updated
07/08/2007
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