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1548870934
EVAN C MOORE
BANGOR, ME
NPI
1548870934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ME CNP211261)
Enumeration Date
2020-07-31
Last Update Date
2023-09-29
Business Address
Dr. EVAN C MOORE DNP
73 HAMMOND ST STE 9998
BANGOR, ME 04401-9998
Phone number: 480-235-9434
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Mailing Address
Dr. EVAN C MOORE DNP
73 HAMMOND ST STE 9998
BANGOR, ME 04401-9998
Phone number: 480-235-9434
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