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1700380466
KATHERINE A DICONZO
PORTLAND, ME
NPI
1700380466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ME CNP181035)
Enumeration Date
2018-03-19
Last Update Date
2018-03-19
Business Address
KATHERINE A DICONZO APRN-CNP
335 BRIGHTON AVE
PORTLAND, ME 04102
Phone number: 207-775-4000
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Mailing Address
KATHERINE A DICONZO APRN-CNP
PO BOX 1849
LEWISTON, ME 04241-1849
Phone number: 207-784-2554
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