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Individual

GEORGE DANIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
221 MAIN STREET, ENOSBURG, VT 05450
(802) 933-7756
Mailing address
369 AUTUMN POND WAY, UNIT 205, ESSEX JUNCTION, VT 05452-4050

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0123486
VT

Other

Enumeration date
12/19/2016
Last updated
12/19/2016
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