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1659353894
SUSAN DIANA JACQUES
COLCHESTER, VT
NPI
1659353894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VT 101-0020757)
Enumeration Date
2005-11-15
Last Update Date
2016-02-11
Business Address
Ms. SUSAN DIANA JACQUES M.S. N. A.P.R.N.
1 WINOOSKI PARK SMC BOX 259 SAINT MICHAEL'S COLLEGE
COLCHESTER, VT 05439-0001
Phone number: 802-654-2234
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Mailing Address
Ms. SUSAN DIANA JACQUES M.S. N. A.P.R.N.
255 WEST SHORE ROAD
SOUTH HERO, VT 05486
Phone number: 802-324-5122
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