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1609808302
CAROL A KNICKERBOCKER
BANGOR, ME
NPI
1609808302
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Former Name
CAROL A SOCHOUKA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: ME R017530)
Enumeration Date
2006-07-06
Last Update Date
2023-03-07
Business Address
-- CAROL A KNICKERBOCKER WHCNP
262 HARLOW ST
BANGOR, ME 04401-4952
Phone number: 207-973-3656
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Mailing Address
-- CAROL A KNICKERBOCKER WHCNP
262 HARLOW ST
BANGOR, ME 04401-4952
Phone number: 207-973-3656
Copy
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