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1437839560
ELIZABETH DERHAK
PORTLAND, ME
NPI
1437839560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: ME LPN12298)
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
ELIZABETH DERHAK LPN
934 CONGRESS ST
PORTLAND, ME 04102-3032
Phone number: 207-874-2141
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Mailing Address
ELIZABETH DERHAK LPN
180 PARK AVE
PORTLAND, ME 04102-2957
Phone number: 207-874-2141
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