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Individual

DEBORAH BETH GOVERNALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
352 COLCHESTER AVE, UNIT A, BURLINGTON, VT 05401-1433
(802) 557-7182

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
055.0031028
VT

Other

Enumeration date
01/21/2009
Last updated
07/29/2013
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