JANE KRISTINE VAILLANCOURT

PORTLAND, ME
NPI1710924600
Former NameJANE KRISTINE FOLGERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA-609)
Enumeration Date2006-06-01
Last Update Date2021-04-02
Business Address
JANE KRISTINE VAILLANCOURT PA-C
MAINE MEDICAL CENTER 22 BRAMHALL ST.
PORTLAND, ME 04102
Phone number: 207-885-0011
Mailing Address
JANE KRISTINE VAILLANCOURT PA-C
46 MOOSE TRAIL
CORNISH, ME 04020
Phone number: 207-653-9895
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