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1639127699
TINA G MERRILL
PORTLAND, ME
NPI
1639127699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA 687)
Enumeration Date
2006-05-04
Last Update Date
2012-05-16
Business Address
-- TINA G MERRILL PA-C
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2263
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Mailing Address
-- TINA G MERRILL PA-C
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2263
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