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1710061494
MAINE DERMATOLOGY, LLC
LINCOLNVILLE, ME
NPI
1710061494
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Entity Type
Organization
Authorized Contact
CHARMAINE JENSEN
Owner/ Doctor
207-230-1007
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: ME 1822)
Enumeration Date
2006-10-25
Last Update Date
2008-06-03
Business Address
MAINE DERMATOLOGY, LLC
2239 ATLANTIC HWY
LINCOLNVILLE, ME 04849-5310
Phone number: 207-230-1007
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Mailing Address
MAINE DERMATOLOGY, LLC
2239 ATLANTIC HWY
LINCOLNVILLE, ME 04849-5310
Phone number: 207-230-1007
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