KENRICK EDWIN WYSONG

BURLINGTON, VT
NPI1558064758
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-24
Last Update Date2023-03-27
Business Address
KENRICK EDWIN WYSONG
111 COLCHESTER AVE
BURLINGTON, VT 05401-1473
Phone number: 802-847-2345
Mailing Address
KENRICK EDWIN WYSONG
111 COLCHESTER AVE
BURLINGTON, VT 05401-1473
Phone number: 909-533-0605
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