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1700815701
JULIE M WISE
AUGUSTA, ME
NPI
1700815701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA674)
Enumeration Date
2006-07-02
Last Update Date
2007-07-08
Business Address
-- JULIE M WISE PA-C
RIVERVIEW PSYCHIATRIC CENTER
AUGUSTA, ME 04330
Phone number: 207-624-3900
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Mailing Address
-- JULIE M WISE PA-C
73 HENNESSEY AVE
BRUNSWICK, ME 04011-2839
Phone number: 207-798-4089
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