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Organization

WIGGODDESS.COM

Active
Other names
Great Lengths
Organization subpart
No

Provider details

NPI number
Authorized official
CLARE ANN MCAFEE BUSINESS OWNER (OWNER - SOLE PROPRIETOR)
80222911112
Entity
Organization

Contact information

Practice address
89 KARL CIR, BERLIN, VT 05602-9526
(802) 229-1112
Mailing address
89 KARL CIR, BERLIN, VT 05602-9526
(802) 229-1112

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
09/20/2008
Last updated
09/20/2008
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