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Individual

AARON WALLACE BURLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
89 MAIN ST, ESSEX JUNCTION, VT 05452-3207
(802) 879-6556
(802) 872-8021
Mailing address
89 MAIN ST, ESSEX JUNCTION, VT 05452-3207
(802) 879-6556
(802) 872-8021

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0420013378
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1027157
VT
05
5059194
VT
Enumeration date
03/20/2013
Last updated
01/30/2017
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