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Individual

HANDEL DORMUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673
(800) 995-2673
Mailing address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
025.0123535
VT
164W00000X
Licensed Practical Nurse
2-052251
AL
164W00000X
Licensed Practical Nurse
Primary
LP60690969
WA

Other

Enumeration date
10/31/2017
Last updated
10/31/2017
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