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1609500016
AMANDA L JOHNSON
BANGOR, ME
NPI
1609500016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA2404)
Enumeration Date
2022-07-12
Last Update Date
2022-07-21
Business Address
AMANDA L JOHNSON PAC
1012 UNION ST
BANGOR, ME 04401-3060
Phone number: 207-404-8100
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Mailing Address
AMANDA L JOHNSON PAC
PO BOX 1599
BANGOR, ME 04402-1599
Phone number: 207-404-8200
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