CANDIS JOAN COUSINS

SOUTH BURLINGTON, VT
NPI1831207166
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VT  550030284)
Enumeration Date2006-08-28
Last Update Date2011-02-07
Business Address
-- CANDIS JOAN COUSINS PAC
364 DORSET ST STE 2
SOUTH BURLINGTON, VT 05403-6270
Phone number: 802-859-9500
Mailing Address
-- CANDIS JOAN COUSINS PAC
123 HANLEY LANE
JERICHO, VT 05465
Phone number: 802-899-9960
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