MICHELLE LEE BLACK

BURLINGTON, VT
NPI1295879351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VT  104-0000139)
Enumeration Date2007-02-20
Last Update Date2016-07-11
Business Address
Mrs. MICHELLE LEE BLACK ATC
431 PINE ST STE G01
BURLINGTON, VT 05401-4726
Phone number: 802-272-7383
Mailing Address
Mrs. MICHELLE LEE BLACK ATC
431 PINE ST STE G01
BURLINGTON, VT 05401-4726
Phone number: 802-272-7383
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