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1215332606
FORE RIVER UROLOGY LLC
SOUTH PORTLAND, ME
NPI
1215332606
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Entity Type
Organization
Authorized Contact
MEGAN SHOREY
Practice Manager
207-518-6617
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
FORE RIVER UROLOGY LLC
21 DONALD B DEAN DR SUITE 1
SOUTH PORTLAND, ME 04106-3252
Phone number: 207-518-6617
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Mailing Address
FORE RIVER UROLOGY LLC
21 DONALD B DEAN DR SUITE 1
SOUTH PORTLAND, ME 04106-3252
Phone number: 207-518-6617
Copy
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