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1700870201
ELISSA J CHARBONNEAU
YARMOUTH, ME
NPI
1700870201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: ME 1399)
Enumeration Date
2005-09-12
Last Update Date
2011-02-18
Business Address
-- ELISSA J CHARBONNEAU DO
24 HAWTHORNE CIRCLE
YARMOUTH, ME 04096-8337
Phone number: 207-851-1724
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Mailing Address
-- ELISSA J CHARBONNEAU DO
301 US ROUTE ONE BUILDING C
SCARBOROUGH, ME 04074-9701
Phone number: 207-396-8600
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