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Individual

JESSICA COTNOIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
130 FISHER RD, BERLIN, VT 05602-9516
(802) 371-4255
Mailing address
130 FISHER RD, BERLIN, VT 05602-9516

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0067184
VT
363L00000X
Nurse Practitioner
Primary
101.0135544
VT

Other

Enumeration date
06/27/2022
Last updated
07/13/2022
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