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1306624374
JACOB ELIE
LEWISTON, ME
NPI
1306624374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ME CNP231382)
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
JACOB ELIE
100 CAMPUS AVE # 208
LEWISTON, ME 04240-6040
Phone number: 207-777-8974
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Mailing Address
JACOB ELIE
111 BACK COVE DR
TURNER, ME 04282-3836
Phone number: 207-577-8765
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