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Individual

GRACE ALTEBRANDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
130 FISHER RD STE 3-1, BERLIN, VT 05602-9000
(802) 225-7000
Mailing address
11 MILE RD, SUFFERN, NY 10901-3505
(845) 608-5035

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
702951
NY
363LF0000X
Family Nurse Practitioner
Primary
101-0134266
VT

Other

Enumeration date
07/13/2016
Last updated
07/17/2019
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