Individual
CHARLES STAPLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 S MAPLE ST, VERGENNES, VT 05491-8665
(802) 377-9296
Mailing address
201 S MAPLE ST, VERGENNES, VT 05491-8665
(802) 377-9296
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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