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1881711059
RENEE A BREAULT
JOHNSON, VT
NPI
1881711059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VT 1040000093)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- RENEE A BREAULT A.T.C
JOHNSON STATE COLLEGE 337 COLLEGE HILL
JOHNSON, VT 05656
Phone number: 802-635-1487
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Mailing Address
-- RENEE A BREAULT A.T.C
47 PEACHTREE LN APT. 1
COLCHESTER, VT 05446
Phone number: 802-373-5270
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