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1649227877
KERRY N FANTELLI
BURLINGTON, VT
NPI
1649227877
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Former Name
KERRY MORUTHANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VT 0550030723)
Enumeration Date
2006-05-31
Last Update Date
2007-07-08
Business Address
-- KERRY N FANTELLI P.A.
617 RIVERSIDE AVE
BURLINGTON, VT 05401-1601
Phone number: 802-864-6309
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Mailing Address
-- KERRY N FANTELLI P.A.
74 OAKWOOD DR
SOUTH BURLINGTON, VT 05403-6224
Phone number: 802-863-7913
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