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Individual

DR. JULIE POULIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
042.0012638
VT
2084P0800X
Psychiatry Physician
Primary
042-0012638
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1022095
VT
Enumeration date
07/13/2009
Last updated
02/06/2019
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