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1114796489
JACOB RUSCZEK PHD PLLC
MONTPELIER, VT
NPI
1114796489
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Entity Type
Organization
Authorized Contact
JACOB ROBERT RUSCZEK
Owner
802-505-5026
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2023-12-27
Last Update Date
2023-12-27
Business Address
JACOB RUSCZEK PHD PLLC
301 RIVER ST STE 204
MONTPELIER, VT 05602-4327
Phone number: 802-505-5026
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Mailing Address
JACOB RUSCZEK PHD PLLC
301 RIVER ST STE 204
MONTPELIER, VT 05602-4327
Phone number: 802-505-5026
Copy
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