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1659586048
SANDRA BAGWELL
PORTLAND, ME
NPI
1659586048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: ME 012416)
Enumeration Date
2007-05-11
Last Update Date
2017-04-24
Business Address
-- SANDRA BAGWELL MD
22 BRAMHALL ST
PORTLAND, ME 04102
Phone number: 207-662-2179
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Mailing Address
-- SANDRA BAGWELL MD
190 RIVERSIDE ST SUITE 6B
PORTLAND, ME 04103-1073
Phone number: 207-661-2000
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