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1306323613
AMEENA FAUQ
BANGOR, ME
NPI
1306323613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ME PA1844)
Enumeration Date
2018-07-20
Last Update Date
2021-03-03
Business Address
AMEENA FAUQ PA-C
1 NORTHEAST DR
BANGOR, ME 04401-4332
Phone number: 904-536-6626
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Mailing Address
AMEENA FAUQ PA-C
43 WHITING HILL RD STE 300
BREWER, ME 04412-1006
Phone number:
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