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1265193148
SAMUEL RICHARD FORD
BANGOR, ME
NPI
1265193148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: ME PA2618)
Enumeration Date
2022-01-04
Last Update Date
2024-12-12
Business Address
SAMUEL RICHARD FORD
925 UNION ST STE 3
BANGOR, ME 04401-3051
Phone number: 207-973-9980
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Mailing Address
SAMUEL RICHARD FORD
925 UNION ST STE 3
BANGOR, ME 04401-3051
Phone number:
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