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Individual

JAINA CLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 COLCHESTER AVE, FAHC, BURLINGTON, VT 05401-1473
(802) 847-2700
Mailing address
190 HOME AVE, BURLINGTON, VT 05401-5047
(802) 860-7528

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0011624
VT
390200000X
Student in an Organized Health Care Education/Training Program
060-0003259
VT

Other

Enumeration date
02/20/2007
Last updated
08/13/2020
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