Individual
COREY JAMES DUTEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
434 HURRICANE LN STE 200, WILLISTON, VT 05495-2073
(802) 655-3544
(802) 655-0123
Mailing address
434 HURRICANE LN STE 200, WILLISTON, VT 05495-2073
(802) 655-3544
(802) 655-0123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033-0003368
VT
183500000X
Pharmacist
045591-1
NY
Other
Enumeration date
04/02/2006
Last updated
01/14/2020
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