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Individual

MOLLIE D CHAMBERLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNPC

Contact information

Practice address
DARTMOUTH HITCHCOCK CLINIC, 195 INDUSTRIAL PKWY, LYNDON, VT 05849
(802) 748-9501
Mailing address
93 OLD COUNTY RD, LYNDONVILLE, VT 05851-8417
(802) 626-5983

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101-0008367
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1002901
VT
Enumeration date
07/05/2006
Last updated
07/08/2007
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