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1669723730
CHARITY MANIATES
PORTLAND, ME
NPI
1669723730
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Former Name
CHARITY LOWER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA1360)
Enumeration Date
2012-09-28
Last Update Date
2014-09-30
Business Address
-- CHARITY MANIATES MSPH, MPH, PAC
66 BRAMHALL ST
PORTLAND, ME 04102-3344
Phone number: 207-662-3157
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Mailing Address
-- CHARITY MANIATES MSPH, MPH, PAC
66 BRAMHALL ST
PORTLAND, ME 04102-3344
Phone number: 207-662-3157
Copy
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