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1124018387
LISA A. TABENKEN
PORTLAND, ME
NPI
1124018387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ME CNP81696)
Enumeration Date
2005-10-27
Last Update Date
2021-10-21
Business Address
LISA A. TABENKEN NP
33 SEWALL ST
PORTLAND, ME 04102-2603
Phone number: 207-828-2100
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Mailing Address
LISA A. TABENKEN NP
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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