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1023636503
DANE WANNIARACHIGE
BANGOR, ME
NPI
1023636503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-07-10
Last Update Date
2020-07-10
Business Address
DANE WANNIARACHIGE MD
895 UNION ST STE 12
BANGOR, ME 04401-3054
Phone number: 207-973-7979
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Mailing Address
DANE WANNIARACHIGE MD
43 WHITING HILL RD STE 350
BREWER, ME 04412-1020
Phone number: 207-973-5035
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