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1073684098
IVAN KING
BANGOR, ME
NPI
1073684098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: ME 7475)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
-- IVAN KING MD
360 BROADWAY
BANGOR, ME 04401-3979
Phone number: 207-262-1703
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Mailing Address
-- IVAN KING MD
360 BROADWAY
BANGOR, ME 04401-3979
Phone number: 207-262-1703
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