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Individual

KENNETH GARY SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
218 LOWER MOUNTAIN VIEW DR, COLCHESTER, VT 05446-5830
(802) 655-3156
Mailing address
218 LOWER MOUNTAIN VIEW DR., COLCHESTER, VT 05446
(802) 655-3156

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0003434
VT

Other

Enumeration date
06/12/2012
Last updated
06/12/2012
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