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1790740835
JENNIFER A. LANDRY
PORTLAND, ME
NPI
1790740835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA177)
Enumeration Date
2006-04-20
Last Update Date
2013-12-09
Business Address
-- JENNIFER A. LANDRY PA-C
84 MARGINAL WAY SUITE 700
PORTLAND, ME 04101
Phone number: 207-774-5816
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Mailing Address
-- JENNIFER A. LANDRY PA-C
100 FODEN RD, WEST SUITE 203
SOUTH PORTLAND, ME 04106-2327
Phone number: 207-828-0361
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