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Individual

DR. REBECCA ANN FOULK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
79 SOUTH WINDSOR ST, SOUTH ROYALTON, VT 05068
(802) 763-7575
(802) 763-2190
Mailing address
PO BOX 119, SOUTH ROYALTON HEALTH CENTER, SOUTH ROYALTON, VT 05068
(802) 763-7575
(802) 763-2190

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042-0006862
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005851
VT
01
5851
BCBS VT
VT
Enumeration date
07/07/2006
Last updated
07/08/2007
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