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Individual

JOHN BRUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
441 WATERTOWER CIR, SUITE 100, COLCHESTER, VT 05446-5801
(802) 655-7575
(802) 655-1115
Mailing address
441 WATERTOWER CIR, SUITE 100, COLCHESTER, VT 05446-5801
(802) 655-7575
(802) 655-1115

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0073153
VT

Other

Enumeration date
02/27/2012
Last updated
02/27/2012
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