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1114687480
AMIE FAGAN
WATERVILLE, ME
NPI
1114687480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ME CNP211610)
Enumeration Date
2021-12-28
Last Update Date
2021-12-28
Business Address
AMIE FAGAN PMHNP
149 NORTH ST
WATERVILLE, ME 04901-4974
Phone number: 207-873-1098
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Mailing Address
AMIE FAGAN PMHNP
149 NORTH ST
WATERVILLE, ME 04901-4974
Phone number: 207-873-1098
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