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Individual

AVERY LEMNAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
440 MAIN ST, WINOOSKI, VT 05404-1338
(802) 655-0354
(802) 489-5182
Mailing address
PO BOX 268, MANCHESTER CENTER, VT 05255-0268
(802) 681-8638

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0112336
VT

Other

Enumeration date
03/09/2015
Last updated
06/09/2015
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