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Individual

KEVIN CHARLES MARVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
214 MAQUAM SHORE RD, SWANTON, VT 05488-9638
(802) 233-5760
Mailing address
214 MAQUAM SHORE RD, SWANTON, VT 05488-9638
(802) 233-5760

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9779-40
WI

Other

Enumeration date
11/29/2022
Last updated
11/29/2022
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