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1134143514
CHARLES S MATUSOVICH
WESTBROOK, ME
NPI
1134143514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ME R042849)
Enumeration Date
2006-07-27
Last Update Date
2015-10-21
Business Address
-- CHARLES S MATUSOVICH FNP
2 CHABOT ST
WESTBROOK, ME 04092-4817
Phone number: 207-857-9311
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Mailing Address
-- CHARLES S MATUSOVICH FNP
2 CHABOT ST
WESTBROOK, ME 04092-4817
Phone number: 207-857-9311
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