Organization
MARION M FRASER DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION M FRASER DC (OWNER)
(802) 825-6068
Entity
Organization
Contact information
Practice address
141 S MAIN ST, WATERBURY, VT 05676-1564
(802) 825-6068
Mailing address
141 S MAIN ST, WATERBURY, VT 05676-1564
(802) 825-6068
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0060079970
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019788
—
VT
Enumeration date
09/30/2014
Last updated
09/30/2014
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