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1720025703
MICHELLE H LAVIGNE
PORTLAND, ME
NPI
1720025703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA-895)
Enumeration Date
2006-05-31
Last Update Date
2013-12-02
Business Address
-- MICHELLE H LAVIGNE PA
100 STATE ST
PORTLAND, ME 04101-3747
Phone number: 207-879-3000
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Mailing Address
-- MICHELLE H LAVIGNE PA
100 STATE ST
PORTLAND, ME 04101-3747
Phone number: 207-879-3000
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