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1366124760
TIMOTHY COREY
AUGUSTA, ME
NPI
1366124760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA2708)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2023-08-04
Last Update Date
2024-09-02
Business Address
TIMOTHY COREY PA-C, M.Ed, CSCS
15 ENTERPRISE DR
AUGUSTA, ME 04330-7997
Phone number: 774-279-4794
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Mailing Address
TIMOTHY COREY PA-C, M.Ed, CSCS
126 LIBBY LN
WEST GARDINER, ME 04345-3274
Phone number: 774-279-4794
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