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Individual

MRS. MEGAN MARIE QUIET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
115 WELLNESS DRIVE, WILLISTON, VT 05495
(802) 860-1358
(802) 860-1093
Mailing address
115 WELLNESS DRIVE, WILLISTON, VT 05495
(802) 860-1358
(802) 860-1093

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0056212
VT

Other

Enumeration date
09/05/2012
Last updated
09/05/2012
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