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Organization

SOUTHWESTERN VERMONT HEALTH CARE CORPORATION

Active
Other names
Bennington Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
MARY WICKER (COO)
(802) 442-6361
Entity
Organization

Contact information

Practice address
339 DEWEY ST, BENNINGTON, VT 05201-2253
(802) 442-8164
Mailing address
339 DEWEY ST, BENNINGTON, VT 05201-2253
(802) 442-8164

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
11/19/2007
Last updated
12/17/2007
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