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1972369387
MICHAEL DIETRICH FETTER
RANDOLPH, VT
NPI
1972369387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-02-23
Last Update Date
2024-02-23
Business Address
MICHAEL DIETRICH FETTER MS
11 N MAIN ST
RANDOLPH, VT 05060-1126
Phone number: 802-728-4466
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Mailing Address
MICHAEL DIETRICH FETTER MS
6 CAMBRIDGEVILLE DR UNIT 4
ENFIELD, NH 03748-3160
Phone number: 603-345-6578
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