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1063478865
CHRIS S MASILLO
RUTLAND, VT
NPI
1063478865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VT 055-0030658)
Enumeration Date
2006-04-21
Last Update Date
2019-09-11
Business Address
CHRIS S MASILLO PA
215 STRATTON RD
RUTLAND, VT 05701-4621
Phone number: 802-773-3386
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Mailing Address
CHRIS S MASILLO PA
215 STRATTON RD
RUTLAND, VT 05701-4621
Phone number: 802-855-2027
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