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1124433016
ELIZABETH C BERRY
PORTLAND, ME
NPI
1124433016
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Former Name
ELIZABETH WALSH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA1461)
Enumeration Date
2014-06-30
Last Update Date
2017-04-26
Business Address
-- ELIZABETH C BERRY PA-C
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2934
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Mailing Address
-- ELIZABETH C BERRY PA-C
190 RIVERSIDE ST SUITE 6B
PORTLAND, ME 04103-1073
Phone number: 207-661-2000
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