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Individual

TODD JOSEPH SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGPCNP-C

Contact information

Practice address
61 COURT DR, BRANDON, VT 05733-8407
(802) 247-3755
(802) 247-4560
Mailing address
65 UPPER MEEHAN RD, BRISTOL, VT 05443-5284
(802) 453-6113

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101.0132665
VT

Other

Enumeration date
11/09/2017
Last updated
11/09/2017
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