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Individual

CAROLE L PUTNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
18 OLD ETNA ROAD, SLEEP MEDICINE, LEBANON, NH 03766
(603) 650-3630
Mailing address
ONE MEDICAL CENTER DRIVE, SLEEP MEDICINE, LEBANON, NH 03756-0001
(603) 650-3630

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
03605023
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023756
VT
05
3098385
NH
Enumeration date
01/31/2013
Last updated
01/09/2019
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