Individual
DIANA PUTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 N MAIN ST, RANDOLPH, VT 05060-1127
(802) 728-3722
Mailing address
118 SUGAR PLUM CT, RANDOLPH, VT 05060-9381
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0003895
VT
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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