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Individual

JESSICA LYNN STADTMAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.D.

Contact information

Practice address
185 TILLEY DR, SOUTH BURLINGTON, VT 05403-4484
(802) 806-3366
Mailing address
167 EVERBREEZE DR, COLCHESTER, VT 05446-1543
(704) 609-1430
(802) 417-3749

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
099.0047105
VT
175F00000X
Naturopath
1239
OR

Other

Enumeration date
05/02/2007
Last updated
09/07/2010
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