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1154630994
ERICA J HALL
SOUTH PORTLAND, ME
NPI
1154630994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: ME MT4141)
Enumeration Date
2010-09-28
Last Update Date
2010-09-30
Business Address
-- ERICA J HALL
39 SOUTHWELL AVE
SOUTH PORTLAND, ME 04106-5316
Phone number: 207-749-4621
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Mailing Address
-- ERICA J HALL
39 SOUTHWELL AVE
SOUTH PORTLAND, ME 04106-5316
Phone number: 207-749-4621
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