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1578689204
EDITH WOODWARD
PORTLAND, ME
NPI
1578689204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA-822)
Enumeration Date
2007-03-22
Last Update Date
2007-07-09
Business Address
-- EDITH WOODWARD PA
20 PORTLAND ST
PORTLAND, ME 04101-2912
Phone number: 207-874-8445
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Mailing Address
-- EDITH WOODWARD PA
389 CONGRESS ST RM 307
PORTLAND, ME 04101-3509
Phone number: 207-874-8784
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