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1689444929
MARINA G B LONGSTRETH
PORTLAND, ME
NPI
1689444929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: ME cmp231366)
Enumeration Date
2024-01-08
Last Update Date
2024-01-08
Business Address
MARINA G B LONGSTRETH ACNPC-AG
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-0111
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Mailing Address
MARINA G B LONGSTRETH ACNPC-AG
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number:
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