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1174906499
KIMBERLY SHIELDS
BANGOR, ME
NPI
1174906499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: ME PT3683)
Enumeration Date
2015-07-06
Last Update Date
2015-07-06
Business Address
KIMBERLY SHIELDS DPT
32 BOWER ST
BANGOR, ME 04401-4722
Phone number: 207-577-1863
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Mailing Address
KIMBERLY SHIELDS DPT
32 BOWER ST
BANGOR, ME 04401-4722
Phone number: 207-577-1863
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