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Individual

ADRIENNE VOUTILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
Mailing address
80 FAIRFIELD ST, SAINT ALBANS, VT 05478-1728
(802) 878-1008

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031233
VT
363A00000X
Physician Assistant
PA4573
MA

Other

Enumeration date
03/13/2013
Last updated
09/17/2020
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