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1346720653
RILEY RICHARD GOODRICH
SOUTH PORTLAND, ME
NPI
1346720653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PAN1826)
Enumeration Date
2018-08-16
Last Update Date
2018-08-16
Business Address
RILEY RICHARD GOODRICH PA-C
100 FODEN RD, EAST STE 203
SOUTH PORTLAND, ME 04106-2327
Phone number: 207-874-1489
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Mailing Address
RILEY RICHARD GOODRICH PA-C
100 GANNETT DR STE C
SOUTH PORTLAND, ME 04106-5900
Phone number: 207-828-0361
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