JACKIE M ROY

SPRINGFIELD, VT
NPI1679595797
Former NameJACKIE MINEAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: VT  101-0022863)
Enumeration Date2006-07-25
Last Update Date2011-09-27
Business Address
-- JACKIE M ROY NP
156 WALL ST
SPRINGFIELD, VT 05156-3528
Phone number: 802-885-1166
Mailing Address
-- JACKIE M ROY NP
PO BOX 710 SPRINGFIELD MEDICAL CARE SYSTEMS
SPRINGFIELD, VT 05156-0710
Phone number: 802-885-1166
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