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1457344590
JOEL A DESAUTELS
WILLISTON, VT
NPI
1457344590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VT 040-0003725)
Enumeration Date
2005-08-24
Last Update Date
2012-09-21
Business Address
-- JOEL A DESAUTELS MPT ATC
426 INDUSTRIAL AVE SUITE 190
WILLISTON, VT 05495-4448
Phone number: 802-860-4360
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Mailing Address
-- JOEL A DESAUTELS MPT ATC
449 NICHOLS RD
FAIRFAX, VT 05454-9614
Phone number: 802-849-0202
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