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1023389418
GRIGORIOS DELAPORTAS
SOUTH BURLINGTON, VT
NPI
1023389418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2012-01-18
Last Update Date
2012-01-18
Business Address
Mr. GRIGORIOS DELAPORTAS P.A.
192 TILLEY DR
SOUTH BURLINGTON, VT 05403-4440
Phone number: 802-847-7063
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Mailing Address
Mr. GRIGORIOS DELAPORTAS P.A.
425 HILLWOOD DR
BIRMINGHAM, AL 35209-5345
Phone number: 813-431-2600
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