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Individual

BRIANNA DUBOIS MACKAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3 HEDDING DR, APT 3-1, RANDOLPH, VT 05060-1035
(802) 431-5629
Mailing address
PO BOX 41, RANDOLPH, VT 05060-0041
(802) 431-5629

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/17/2016
Last updated
11/17/2016
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