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1053753921
FREDERICK DONALD WATTERS
PORTLAND, ME
NPI
1053753921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ME CNP131037)
Enumeration Date
2013-07-22
Last Update Date
2018-07-13
Business Address
Mr. FREDERICK DONALD WATTERS APRN-CNP
66 SHERMAN ST APT 3
PORTLAND, ME 04101
Phone number: 207-669-5910
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Mailing Address
Mr. FREDERICK DONALD WATTERS APRN-CNP
66 SHERMAN ST APT 3
PORTLAND, ME 04101-2206
Phone number: 207-669-5910
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