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1407121932
SAMUEL GAGNON
SOUTH PORTLAND, ME
NPI
1407121932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA1456)
Enumeration Date
2012-03-16
Last Update Date
2021-06-14
Business Address
SAMUEL GAGNON PA-C
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106-2458
Phone number: 207-661-0200
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Mailing Address
SAMUEL GAGNON PA-C
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106-2458
Phone number: 207-661-0200
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