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Individual

DAVID W ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
26 UNION ST, WATERBURY, VT 05676-1303
(802) 244-6403
(802) 244-1486
Mailing address
26 UNION ST, WATERBURY, VT 05676-1303
(802) 244-6403
(802) 244-1486

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0154
VT

Other

Enumeration date
04/07/2014
Last updated
04/07/2014
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