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1023064326
KATHLEEN J MONGILLO
PORTLAND, ME
NPI
1023064326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: ME R038450)
Enumeration Date
2006-05-26
Last Update Date
2007-07-08
Business Address
KATHLEEN J MONGILLO MS,ARNP,BC
200 LANCASTER STREET
PORTLAND, ME 04101-2418
Phone number: 207-772-2133
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Mailing Address
KATHLEEN J MONGILLO MS,ARNP,BC
944 S HIGH ST
BRIDGTON, ME 04009-3919
Phone number: 603-447-6339
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