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MS. GWENDOLYN C GROUT LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1801003363

Individual Registrant:
MS. GWENDOLYN C GROUT LPN
Gender: F
Sole Proprietor

Location and contact information for practice:
38 WHIPPLE RD  SOUTH HERO, VT 05486-4900 US
Tel: 802-372-4020  Fax: --

Contact information for business:
60 LAUREL LN  WATERBURY, VT 05676-9751 US
Tel: 802-244-1429  Fax: --

Registration Information:
NPI: 1801003363
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
VT025-0008663

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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