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1447201165
DOUGLAS LEE KAVANAUGH
BANGOR, ME
NPI
1447201165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: ME PA561)
Enumeration Date
2006-05-15
Last Update Date
2016-01-12
Business Address
DOUGLAS LEE KAVANAUGH PA-C
1 NORTHEAST DR EMMC - NORTHEAST CARDIOLOGY ASSOCIATES
BANGOR, ME 04401
Phone number: 207-275-3800
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Mailing Address
DOUGLAS LEE KAVANAUGH PA-C
43 WHITING HILL RD
BREWER, ME 04412
Phone number: 207-973-5035
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