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1902100928
CHAMPLAIN VALLEY ANESTHESIA, PLLC
MIDDLEBURY, VT
NPI
1902100928
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Entity Type
Organization
Authorized Contact
KEVIN L. IANNI
Authorized Representative
802-462-3225
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2011-01-05
Last Update Date
2011-01-05
Business Address
CHAMPLAIN VALLEY ANESTHESIA, PLLC
115 PORTER DR
MIDDLEBURY, VT 05753-8423
Phone number: 802-388-4724
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Mailing Address
CHAMPLAIN VALLEY ANESTHESIA, PLLC
255 W MICHIGAN AVE P.O. BOX 1123
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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