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1215906904
LAURIE MARTENS
SOUTH PORTLAND, ME
NPI
1215906904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA52)
Enumeration Date
2006-03-15
Last Update Date
2010-11-23
Business Address
Ms. LAURIE MARTENS PAC
100 FODEN RD E STE 203
SOUTH PORTLAND, ME 04106-2327
Phone number: 207-874-1489
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Mailing Address
Ms. LAURIE MARTENS PAC
100 FODEN RD W STE 203
SOUTH PORTLAND, ME 04106-2327
Phone number: 207-828-0361
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