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1518953942
ALEXANDRA BANNACH
NEWPORT, VT
NPI
1518953942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: VT 042-0010849)
Enumeration Date
2005-09-21
Last Update Date
2007-07-08
Business Address
Dr. ALEXANDRA BANNACH M.D.
121 MEDICAL VILLAGE DR
NEWPORT, VT 05855-9834
Phone number: 802-334-5929
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Mailing Address
Dr. ALEXANDRA BANNACH M.D.
121 MEDICAL VILLAGE DR
NEWPORT, VT 05855-9834
Phone number: 802-334-5929
Copy
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