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1811959927
SUSAN P. SHANE
BURLINGTON, VT
NPI
1811959927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VT 042-0007826)
Enumeration Date
2006-04-04
Last Update Date
2013-10-04
Business Address
-- SUSAN P. SHANE M.D.
1 SOUTH PROSPECT STREET FAHC FAMILY MEDICINE, ARNOLD 4
BURLINGTON, VT 05401
Phone number: 802-847-4237
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Mailing Address
-- SUSAN P. SHANE M.D.
PO BOX 1150
BURLINGTON, VT 05402-1150
Phone number: 802-847-8161
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