Individual
MS. MARY COPPENS LABRECQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
Mailing address
PO BOX 263, NORTH POMFRET, VT 05053-0263
(802) 457-3285
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101-0023735
VT
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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