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1790178234
AVERY LEMNAH
WINOOSKI, VT
NPI
1790178234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: VT 104.0112336)
Enumeration Date
2015-03-09
Last Update Date
2015-06-09
Business Address
AVERY LEMNAH
440 MAIN ST
WINOOSKI, VT 05404-1338
Phone number: 802-655-0354
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Mailing Address
AVERY LEMNAH
PO BOX 268
MANCHESTER CENTER, VT 05255-0268
Phone number: 802-681-8638
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