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1376642173
MARY R MOORE
BANGOR, ME
NPI
1376642173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ME 034710)
Enumeration Date
2006-09-21
Last Update Date
2013-03-06
Business Address
-- MARY R MOORE CRNA
489 STATE ST C/O EMMC
BANGOR, ME 04401-6616
Phone number: 207-973-4519
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Mailing Address
-- MARY R MOORE CRNA
141 N MAIN ST STE 205 EMMC
BREWER, ME 04412-2055
Phone number: 207-973-4519
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