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1285295154
SPENCER CIANCOLA
BENNINGTON, VT
NPI
1285295154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VT 055.0031452)
Enumeration Date
2019-06-21
Last Update Date
2021-12-26
Business Address
SPENCER CIANCOLA
140 HOSPITAL DR STE 111
BENNINGTON, VT 05201-5010
Phone number: 802-440-4077
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Mailing Address
SPENCER CIANCOLA
100 HOSPITAL DR
BENNINGTON, VT 05201-5004
Phone number:
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