Individual
JON PAUL BAUTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
240 SOUTH MAIN STREET, WHITE RIVER JUNCTION, VT 05001
(802) 886-4500
Mailing address
390 RIVER STREET, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4520
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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