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Individual

MICHELLE PACKARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-4897
(603) 650-4560
Mailing address
364 NORWICH AVE, WILDER, VT 05088
(802) 295-2420

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
H475
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010488
VT
05
30432930
NH
Enumeration date
07/13/2006
Last updated
11/28/2007
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