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1598493884
WESLEY SULLOWAY
DAMARISCOTTA, ME
NPI
1598493884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA2426)
Enumeration Date
2022-08-12
Last Update Date
2022-08-12
Business Address
WESLEY SULLOWAY PA-C
35 MILES ST
DAMARISCOTTA, ME 04543-4047
Phone number: 207-563-1234
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Mailing Address
WESLEY SULLOWAY PA-C
520 UPPER RIDGE RD
BRIDGTON, ME 04009-4423
Phone number: 207-671-8003
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