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1467550376
MICHELLE GRANT
BANGOR, ME
NPI
1467550376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ME 043498)
Enumeration Date
2006-09-21
Last Update Date
2013-03-27
Business Address
-- MICHELLE GRANT CRNA
489 STATE ST
BANGOR, ME 04401-6616
Phone number: 207-973-4519
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Mailing Address
-- MICHELLE GRANT CRNA
141 N MAIN ST STE 205
BREWER, ME 04412-2055
Phone number: 207-973-4519
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