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1477817682
PATRICE AIME NYA
BANGOR, ME
NPI
1477817682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: ME PI12641)
Enumeration Date
2012-07-02
Last Update Date
2016-04-21
Business Address
-- PATRICE AIME NYA
201 HUSSON AVE APT U12
BANGOR, ME 04401-3168
Phone number: 240-646-4263
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Mailing Address
-- PATRICE AIME NYA
201 HUSSON AVE APT U12
BANGOR, ME 04401-3168
Phone number: 240-646-4263
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