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Individual

STEPHAN KANGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, R.PH.

Contact information

Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
820 WATERBURY STOWE RD, WATERBURY, VT 05676-9730
(802) 241-4115

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0134622
VT

Other

Enumeration date
03/08/2022
Last updated
04/03/2024
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