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1619420346
DAVID MCCORMACK
BRATTLEBORO, VT
NPI
1619420346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VT 101.0122031)
Enumeration Date
2016-07-29
Last Update Date
2016-07-29
Business Address
-- DAVID MCCORMACK
53 FAIRVIEW ST
BRATTLEBORO, VT 05301
Phone number: 802-251-8455
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Mailing Address
-- DAVID MCCORMACK
56 LOOP RD
NEWFANE, VT 05345
Phone number:
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