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1174083596
ELLEN MARGARET CLARK
PORTLAND, ME
NPI
1174083596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-21
Last Update Date
2019-03-21
Business Address
ELLEN MARGARET CLARK DO
22 BRAMHALL ST
PORTLAND, ME 04102-3175
Phone number: 207-662-0111
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Mailing Address
ELLEN MARGARET CLARK DO
22 BRAMHALL ST
PORTLAND, ME 04102-3175
Phone number:
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