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1285231217
MALIA HADDOCK
PORTLAND, ME
NPI
1285231217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: ME CNP201404)
Enumeration Date
2020-10-02
Last Update Date
2020-10-02
Business Address
MALIA HADDOCK PMHNP
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-0001
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Mailing Address
MALIA HADDOCK PMHNP
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number:
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