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1386055119
SUSAN BOLES
CHITTENDEN, VT
NPI
1386055119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VT 0720000208)
Enumeration Date
2014-05-14
Last Update Date
2014-05-14
Business Address
Mrs. SUSAN BOLES M.S. OTR/L
16 BENTON DR
CHITTENDEN, VT 05737-4403
Phone number: 802-353-3557
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Mailing Address
Mrs. SUSAN BOLES M.S. OTR/L
PO BOX 31
CHITTENDEN, VT 05737-0031
Phone number: 802-353-3557
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