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1790437143
JENNIFER DISSELL
AUGUSTA, ME
NPI
1790437143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ME CNP201465)
Enumeration Date
2022-01-26
Last Update Date
2022-01-26
Business Address
JENNIFER DISSELL FNP-C
15 ENTERPRISE DR
AUGUSTA, ME 04330-7997
Phone number: 207-621-8880
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Mailing Address
JENNIFER DISSELL FNP-C
26 FULLER RD
CUMBERLAND, ME 04021-3063
Phone number: 207-462-7360
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