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1871333948
MARA C BENNETT-DEISS
BANGOR, ME
NPI
1871333948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ME CNP241280)
Enumeration Date
2024-05-28
Last Update Date
2024-07-17
Business Address
MARA C BENNETT-DEISS CFNP
1012 UNION ST
BANGOR, ME 04401-3060
Phone number: 207-404-8100
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Mailing Address
MARA C BENNETT-DEISS CFNP
PO BOX 1599
BANGOR, ME 04402-1599
Phone number: 207-404-8100
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