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1215704416
TOMAS T. ENSALATA
RUTLAND, VT
NPI
1215704416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VT 055.0031731)
Enumeration Date
2023-12-07
Last Update Date
2023-12-14
Business Address
TOMAS T. ENSALATA PA-C
8 COMMONS ST
RUTLAND, VT 05701-4651
Phone number: 802-770-1805
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Mailing Address
TOMAS T. ENSALATA PA-C
1057 MAPLE ST
VERGENNES, VT 05491-8527
Phone number: 802-233-1447
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