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1073247367
LAUREN JELLISON
BANGOR, ME
NPI
1073247367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ME CNP221225)
Enumeration Date
2022-07-12
Last Update Date
2024-12-02
Business Address
LAUREN JELLISON NP
900 BROADWAY BLDG 1
BANGOR, ME 04401-1900
Phone number: 207-907-3010
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Mailing Address
LAUREN JELLISON NP
900 BROADWAY BLDG 1
BANGOR, ME 04401-1900
Phone number: 207-907-3010
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