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Individual

MR. DONALD JOSEPH PERREAULT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Contact information

Practice address
1 MEDICAL CENTER DR, DHMC- DEPT. OF MEDICINE, LEBANON, NH 03756-1000
(603) 650-4790
Mailing address
1 MEDICAL CENTER DR, DHMC- DEPT. OF MEDICINE, LEBANON, NH 03756-1000
(603) 650-4790

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
055355-23
NH
363LC0200X
Critical Care Medicine Nurse Practitioner
101.0118606
VT

Other

Enumeration date
03/30/2016
Last updated
03/30/2016
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