TIMOTHY M GRACE

LEWISTON, ME
NPI1215047584
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA735)
Enumeration Date2006-08-30
Last Update Date2014-05-14
Business Address
-- TIMOTHY M GRACE PA
300 MAIN ST
LEWISTON, ME 04240-7027
Phone number: 207-795-0111
Mailing Address
-- TIMOTHY M GRACE PA
300 MAIN ST
LEWISTON, ME 04240-7027
Phone number: 207-795-0111
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