PATRICE AIME NYA

BANGOR, ME
NPI1477817682
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: ME  PI12641)
Enumeration Date2012-07-02
Last Update Date2016-04-21
Business Address
-- PATRICE AIME NYA
201 HUSSON AVE APT U12
BANGOR, ME 04401-3168
Phone number: 240-646-4263
Mailing Address
-- PATRICE AIME NYA
201 HUSSON AVE APT U12
BANGOR, ME 04401-3168
Phone number: 240-646-4263
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