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Individual

MIRIAM J SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
NVRH CORNER MEDICAL, 195 INDUSTRIAL PKWY, LYNDON, VT 05849
(802) 748-9501
Mailing address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
(802) 748-4540

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0030096
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1002900
VT
05
3075309
NH
Enumeration date
06/27/2006
Last updated
03/10/2017
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