Individual
MARGE J DETHLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
187 VT ROUTE 12, MIDDLESEX, VT 05602-8621
(802) 229-9427
Mailing address
187 VT ROUTE 12, MIDDLESEX, VT 05602-8621
(802) 229-9427
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0001186
VT
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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