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Individual

DR. ISABELLE DESJARDINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
155 HANON DR, WILLISTON, VT 05495-8851
(802) 288-9919
Mailing address
155 HANON DR, WILLISTON, VT 05495-8851
(802) 288-9919

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420010605
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02458464
NY
05
1007394
VT
Enumeration date
07/13/2006
Last updated
07/08/2007
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