Individual
SCOTT SALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 RAYMOND LN, HYDE PARK, VT 05655-4402
(802) 279-7567
Mailing address
109 RAYMOND LN, HYDE PARK, VT 05655-4402
(802) 279-7567
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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