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1780918649
JASON JOHN LEBEAU
MIDDLEBURY, VT
NPI
1780918649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VT 040-0003269)
Enumeration Date
2009-09-25
Last Update Date
2009-09-25
Business Address
JASON JOHN LEBEAU P.T.
812 EXCHANGE ST
MIDDLEBURY, VT 05753-1555
Phone number: 802-388-3991
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Mailing Address
JASON JOHN LEBEAU P.T.
300 MAIN ST
VERGENNES, VT 05491-1035
Phone number: 802-877-6991
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