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1114076163
SUSAN LEGACY
WILLISTON, VT
NPI
1114076163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: VT 0420008675)
Enumeration Date
2007-01-09
Last Update Date
2007-07-09
Business Address
SUSAN LEGACY MD
188 ALLEN BROOK LN
WILLISTON, VT 05495-9303
Phone number: 802-876-4000
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Mailing Address
SUSAN LEGACY MD
188 ALLEN BROOK LN
WILLISTON, VT 05495-9303
Phone number: 802-876-4000
Copy
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