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1154994341
MIRANDA CHADBOURNE
ELLSWORTH, ME
NPI
1154994341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA2219)
Enumeration Date
2021-07-23
Last Update Date
2022-01-18
Business Address
MIRANDA CHADBOURNE PA
50 UNION ST
ELLSWORTH, ME 04605-1534
Phone number: 207-664-5770
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Mailing Address
MIRANDA CHADBOURNE PA
50 UNION ST
ELLSWORTH, ME 04605-1534
Phone number: 207-664-5642
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