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1205821220
VIRGINIA C BRACK
LEBANON, NH
NPI
1205821220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: VT 042-0010058)
Enumeration Date
2005-09-15
Last Update Date
2013-04-26
Business Address
-- VIRGINIA C BRACK MD
1 MEDICAL CENTER DR
LEBANON, NH 03756-1000
Phone number: 603-650-5000
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Mailing Address
-- VIRGINIA C BRACK MD
1 CLIFF ST
NORWICH, VT 05055-9412
Phone number: 802-649-3891
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