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1144256843
JERRY T STALEY
AUGUSTA, ME
NPI
1144256843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MO 2002023337)
Enumeration Date
2006-06-24
Last Update Date
2007-11-06
Business Address
-- JERRY T STALEY MD
55 MIDDLE ST
AUGUSTA, ME 04330-5728
Phone number: 207-629-9488
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Mailing Address
-- JERRY T STALEY MD
55 MIDDLE ST
AUGUSTA, ME 04330-5728
Phone number: 207-629-9488
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