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1033134796
BENJAMIN LINCOLN RUSSELL
PORTLAND, ME
NPI
1033134796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ME 1178)
Enumeration Date
2006-07-13
Last Update Date
2012-02-10
Business Address
Dr. BENJAMIN LINCOLN RUSSELL DO
195 FORE RIVER PKWY SUITE 420
PORTLAND, ME 04102-2780
Phone number: 207-553-6500
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Mailing Address
Dr. BENJAMIN LINCOLN RUSSELL DO
195 FORE RIVER PKWY SUITE 420
PORTLAND, ME 04102-2780
Phone number: 207-553-6500
Copy
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