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1467412551
BERNADETTE H SHAW
PORTLAND, ME
NPI
1467412551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA865)
Enumeration Date
2006-03-24
Last Update Date
2021-09-10
Business Address
BERNADETTE H SHAW PA-C
33 SEWALL ST
PORTLAND, ME 04102-2603
Phone number: 207-828-2100
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Mailing Address
BERNADETTE H SHAW PA-C
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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