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STEWART LESLIE COHEN L.AC.

>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1588879365

Individual Registrant:
 STEWART LESLIE COHEN L.AC.
Gender: M
Sole Proprietor

Location and contact information for practice:
1 KENNEDY DR STE U7  S BURLINGTON, VT 05403-7166 US
Tel: 802-862-2273  Fax: --

Contact information for business:
1 KENNEDY DR STE U7  S BURLINGTON, VT 05403-7166 US
Tel: 802-862-2273  Fax: --

Registration Information:
NPI: 1588879365
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171100000XOther Service Providers
Acupuncturist
VT091-0000013

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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