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1487377842
IAN ALLEY
PORTLAND, ME
NPI
1487377842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA2457)
Enumeration Date
2022-09-21
Last Update Date
2023-01-18
Business Address
IAN ALLEY PA-C
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-4618
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Mailing Address
IAN ALLEY PA-C
1 BOSTON WAY UNIT 107
NEWBURYPORT, MA 01950-4181
Phone number: 617-304-5894
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