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1295465409
KAITLYN RULLO
BANGOR, ME
NPI
1295465409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: ME PA2440)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2022-06-13
Last Update Date
2023-09-21
Business Address
KAITLYN RULLO
55 BROADWAY
BANGOR, ME 04401-5201
Phone number: 207-947-0469
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Mailing Address
KAITLYN RULLO
489 STATE ST
BANGOR, ME 04401-6616
Phone number:
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