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Individual

ERICA MICHELLE GUELETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
468 HOSPITAL DR, ST JOHNSBURY, VT 05819
(802) 748-3536
Mailing address
114 MAIN ST, MONTPELIER, VT 05602-3254
(802) 223-7723

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5216
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030.0133903
VT STATE LICENCE
VT
Enumeration date
07/02/2017
Last updated
02/24/2022
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