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1164402640
CHARLES C HUMPHREY
LEWISTON, ME
NPI
1164402640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ME 012696)
Enumeration Date
2006-01-19
Last Update Date
2023-02-22
Business Address
CHARLES C HUMPHREY M.D.
300 MAIN ST
LEWISTON, ME 04240-7007
Phone number: 207-795-2400
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Mailing Address
CHARLES C HUMPHREY M.D.
12 BATES ST SUITE C
LEWISTON, ME 04240-7675
Phone number: 207-786-3571
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