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1184133746
ABD ASSALAM QANNUS
PORTLAND, ME
NPI
1184133746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: ME EC171095)
Enumeration Date
2017-09-27
Last Update Date
2022-07-21
Business Address
ABD ASSALAM QANNUS M.D.
22 BRAMHALL ST RM 5219
PORTLAND, ME 04102-3134
Phone number: 207-662-7872
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Mailing Address
ABD ASSALAM QANNUS M.D.
22 BRAMHALL ST RM 5219
PORTLAND, ME 04102-3134
Phone number: 207-662-7872
Copy
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