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1922701960
MARY KATHERINE KOSCIUSKO
BURLINGTON, VT
NPI
1922701960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
MARY KATHERINE KOSCIUSKO MD
111 COLCHESTER AVE
BURLINGTON, VT 05401-1473
Phone number: 802-847-2345
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Mailing Address
MARY KATHERINE KOSCIUSKO MD
PO BOX 117
WEST CORNWALL, CT 06796-0117
Phone number: 860-318-5278
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