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1811120041
IAN K BREWER
PORTLAND, ME
NPI
1811120041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA001181)
Enumeration Date
2009-09-04
Last Update Date
2009-09-04
Business Address
Mr. IAN K BREWER PA C
144 STATE ST
PORTLAND, ME 04101-3776
Phone number: 207-879-3000
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Mailing Address
Mr. IAN K BREWER PA C
144 STATE ST
PORTLAND, ME 04101-3776
Phone number: 207-879-3000
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