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1013070606
CONSTANCE E RUSSELL
BANGOR, ME
NPI
1013070606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ME R023037)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
Ms. CONSTANCE E RUSSELL FNPC
268 STILLWATER AVENUE ACADIA HOSPITAL CORP
BANGOR, ME 04401
Phone number: 207-973-6100
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Mailing Address
Ms. CONSTANCE E RUSSELL FNPC
PO BOX 422 ACADIA HOSPITAL CORP
BANGOR, ME 04402-0422
Phone number: 207-973-6100
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