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1417441544
JEYASHREE M BOARDWAY
BANGOR, ME
NPI
1417441544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA1823)
Enumeration Date
2018-06-21
Last Update Date
2021-08-19
Business Address
JEYASHREE M BOARDWAY PAC
181 CORPORATE DR
BANGOR, ME 04401-4314
Phone number: 207-992-2636
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Mailing Address
JEYASHREE M BOARDWAY PAC
PO BOX 1599
BANGOR, ME 04402-1599
Phone number: 207-404-8200
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