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1467038042
JACOB ALLAN FAY-SHIELDS
GORHAM, ME
NPI
1467038042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ME MD28450)
Enumeration Date
2021-03-23
Last Update Date
2024-09-16
Business Address
Dr. JACOB ALLAN FAY-SHIELDS MD
575 MAIN ST
GORHAM, ME 04038-2623
Phone number: 207-839-2559
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Mailing Address
Dr. JACOB ALLAN FAY-SHIELDS MD
PO BOX 9746
PORTLAND, ME 04104-5040
Phone number: 207-791-3888
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