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1356452171
JACK L WATERMAN
WALDOBORO, ME
NPI
1356452171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ME 010231)
Enumeration Date
2006-08-31
Last Update Date
2013-02-23
Business Address
-- JACK L WATERMAN M.D.
27 MILL ST
WALDOBORO, ME 04572-6013
Phone number: 207-832-5291
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Mailing Address
-- JACK L WATERMAN M.D.
27 MILL ST
WALDOBORO, ME 04572-6013
Phone number: 207-832-5291
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