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1518130194
HUGH DURWOOD WALLER
RUTLAND, VT
NPI
1518130194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2008-04-03
Last Update Date
2021-06-15
Business Address
Mr. HUGH DURWOOD WALLER PA-C
173 S MAIN ST
RUTLAND, VT 05701-4713
Phone number: 802-772-4165
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Mailing Address
Mr. HUGH DURWOOD WALLER PA-C
74 PLEASANT ST STE 204
NEW LONDON, NH 03257-5881
Phone number: 603-526-4635
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