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1457607244
ANGELA DIANE BACCHIOCCHI
BANGOR, ME
NPI
1457607244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: ME PA1350)
Enumeration Date
2012-07-30
Last Update Date
2012-07-30
Business Address
-- ANGELA DIANE BACCHIOCCHI PA-C
417 STATE ST SUITE 221
BANGOR, ME 04401-6630
Phone number: 207-973-9949
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Mailing Address
-- ANGELA DIANE BACCHIOCCHI PA-C
909 BLACKSTREAM RD
HERMON, ME 04401-0207
Phone number: 413-575-6118
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