Individual
MRS. SARA JANE LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.G.N.P.
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-4266
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-4266
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101.0116974
VT
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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