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1104565985
PER ORDAL EISENMAN
MIDDLEBURY, VT
NPI
1104565985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VT 0680134620)
Enumeration Date
2022-06-01
Last Update Date
2022-07-19
Business Address
PER ORDAL EISENMAN
67 CATAMOUNT PARK
MIDDLEBURY, VT 05753-1397
Phone number: 802-388-6751
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Mailing Address
PER ORDAL EISENMAN
89 MAIN ST
MIDDLEBURY, VT 05753-1483
Phone number: 802-388-6751
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