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1134228091
HANS TORMOD GUNDERSEN
PORTLAND, ME
NPI
1134228091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2006-09-21
Last Update Date
2011-01-10
Business Address
Mr. HANS TORMOD GUNDERSEN PA-C
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-4618
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Mailing Address
Mr. HANS TORMOD GUNDERSEN PA-C
301 US ROUTE 1 BUILDING C
SCARBOROUGH, ME 04074-7609
Phone number: 207-396-8600
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