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1225395890
LUCY E R SHORTSLEEVES
RUTLAND, VT
NPI
1225395890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA1668)
Enumeration Date
2012-04-19
Last Update Date
2024-05-28
Business Address
LUCY E R SHORTSLEEVES PAC
215 STRATTON RD
RUTLAND, VT 05701-4621
Phone number: 802-773-3386
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Mailing Address
LUCY E R SHORTSLEEVES PAC
PO BOX 1599 PENOBSCOT COMMUNITY HEALTH CENTER
BANGOR, ME 04402-1599
Phone number: 207-945-5247
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