STEPHEN JOHN BLACKETT

RUTLAND, VT
NPI1720283328
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric
(Licence: VT  041-0000401)
Enumeration Date2007-06-15
Last Update Date2007-07-08
Business Address
Mr. STEPHEN JOHN BLACKETT PTA
46 NICHOLS ST
RUTLAND, VT 05701-3275
Phone number: 802-775-2941
Mailing Address
Mr. STEPHEN JOHN BLACKETT PTA
486 TOWN FARM RD
BRANDON, VT 05733-9098
Phone number: 802-247-6340
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