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1831518497
RUSSELL DAVIGNON
MONTPELIER, VT
NPI
1831518497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: VT 042.0006123)
Enumeration Date
2014-04-10
Last Update Date
2014-04-10
Business Address
-- RUSSELL DAVIGNON
225 WESTWOOD DR
MONTPELIER, VT 05602-8453
Phone number: 802-229-6698
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Mailing Address
-- RUSSELL DAVIGNON
PO BOX 159
MONTPELIER, VT 05601-0159
Phone number: 802-229-6698
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