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Organization

FULL SPECTRUM MIDWIFERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEGGY LYNN COHEN CPM, LM (PRESIDENT)
(802) 860-2229
Entity
Organization

Contact information

Practice address
289 COLLEGE ST, BURLINGTON, VT 05401-8320
(802) 860-2229
Mailing address
289 COLLEGE ST, BURLINGTON, VT 05401-8320
(802) 860-2229

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
107-0000004
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008774
VT
Enumeration date
08/27/2008
Last updated
08/27/2008
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