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1538293907
GAYLE I BOTELHO
COLCHESTER, VT
NPI
1538293907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VT 104-0000103)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- GAYLE I BOTELHO ATC
1 WINOOSKI PARK
COLCHESTER, VT 05439-0001
Phone number: 802-654-2496
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Mailing Address
-- GAYLE I BOTELHO ATC
25 WOODS END DR
ESSEX JUNCTION, VT 05452-4731
Phone number: 802-922-2166
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