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1275302390
RIIM AWEIS SUJA
BANGOR, ME
NPI
1275302390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: ME 2022092620)
Enumeration Date
2023-12-29
Last Update Date
2024-01-11
Business Address
RIIM AWEIS SUJA AGACNP-BC
489 STATE ST
BANGOR, ME 04401-6616
Phone number: 207-973-4928
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Mailing Address
RIIM AWEIS SUJA AGACNP-BC
489 STATE ST
BANGOR, ME 04401-6616
Phone number: 207-973-7000
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