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1528160025
CHARLES A CIVIELLO
BANGOR, ME
NPI
1528160025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: ME 621TA)
Enumeration Date
2006-09-04
Last Update Date
2007-07-08
Business Address
Dr. CHARLES A CIVIELLO O.D.
105 FOREST AVE
BANGOR, ME 04401-5316
Phone number: 207-942-5597
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Mailing Address
Dr. CHARLES A CIVIELLO O.D.
PO BOX 8064
BANGOR, ME 04402-8064
Phone number: 207-942-5597
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