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1588653018
MARK W FOURRE
PORTLAND, ME
NPI
1588653018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: ME MD12773)
Enumeration Date
2005-10-18
Last Update Date
2012-09-19
Business Address
-- MARK W FOURRE MD
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-7046
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Mailing Address
-- MARK W FOURRE MD
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-7046
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