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1114043056
SHIRLEY HEATLEY
PORTLAND, ME
NPI
1114043056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ME R014002)
Enumeration Date
2007-03-22
Last Update Date
2007-07-09
Business Address
-- SHIRLEY HEATLEY RN
134 CONGRESS ST
PORTLAND, ME 04101
Phone number: 207-874-8784
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Mailing Address
-- SHIRLEY HEATLEY RN
389 CONGRESS ST ROOM 307
PORTLAND, ME 04101-3509
Phone number: 207-874-8784
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