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1184099848
JULIE BASCOM
LEBANON, NH
NPI
1184099848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VT 8021582)
Enumeration Date
2015-12-07
Last Update Date
2015-12-07
Business Address
-- JULIE BASCOM
24 OLD ETNA RD
LEBANON, NH 03766-1937
Phone number: 603-443-9875
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Mailing Address
-- JULIE BASCOM
47 VT ROUTE 14 N
EAST RANDOLPH, VT 05041-9523
Phone number:
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