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Individual

KATHLEEN MARIE DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
145 SCHOOL ST., ROCHESTER, VT 05767-0184
(802) 767-3332
Mailing address
145 SCHOOL ST., ROCHESTER, VT 05767-0184
(802) 767-3332

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R083751
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R083751
MD

Other

Enumeration date
02/06/2008
Last updated
02/06/2008
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