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1447303961
STEPHANIE ELENA CHIN
PORTLAND, ME
NPI
1447303961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ME CNP191234)
Enumeration Date
2007-01-19
Last Update Date
2020-02-27
Business Address
STEPHANIE ELENA CHIN FNP-BC, APRN-CNP
LIBERTY BAY RECOVERY CENTER 343 FOREST AVENUE
PORTLAND, ME 04101
Phone number: 207-772-9800
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Mailing Address
STEPHANIE ELENA CHIN FNP-BC, APRN-CNP
31 PUNKIN VALLEY DR
BRIDGTON, ME 04009-3425
Phone number: 207-595-8756
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