Provider Information for 1639938749
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SARA ECKER
Sex: Female
NPI: 1639938749
Last Updated: 2024-03-21
Certification Date: 2024-03-21
Certification Date: 2024-03-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1639938749 | ||||||||
| Enumeration Date | 2024-03-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 199 STOWELL RD THETFORD CENTER, VT 05075-8758 United States Phone: 802-281-2325 | Fax: | ||||||||
| Primary Practice Address | 331 UPPER PLN BRADFORD, VT 05033-9207 United States Phone: 802-222-4722 | Fax: | ||||||||
| Secondary Practice Address(es) | 332 RTE 113 RD | ||||||||
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