Provider First Line Business Practice Location Address:
ONE WINOOSKI PARK
Provider Second Line Business Practice Location Address:
ST. MICHAEL'S COLLEGE STUDENT HEALTH SERVICES
Provider Business Practice Location Address City Name:
COLCHESTER
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05439
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-654-2234
Provider Business Practice Location Address Fax Number:
802-654-2699
Provider Enumeration Date:
03/27/2009