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1114103215
STACY L DIPERNA
SANFORD, ME
NPI
1114103215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: ME R053665)
Enumeration Date
2008-01-18
Last Update Date
2013-08-13
Business Address
STACY L DIPERNA NP
25 JUNE ST
SANFORD, ME 04073-2621
Phone number: 207-324-4310
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Mailing Address
STACY L DIPERNA NP
25 JUNE ST
SANFORD, ME 04073-2621
Phone number: 207-324-4310
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