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1871804542
BANGOR HEALTHCARE
BANGOR, ME
NPI
1871804542
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Entity Type
Organization
Authorized Contact
PATR ANN SMALL
Physician
207-992-2395
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ME 1608)
Enumeration Date
2010-06-28
Last Update Date
2010-06-28
Business Address
BANGOR HEALTHCARE
109 STATE ST
BANGOR, ME 04401-5149
Phone number: 207-992-2395
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Mailing Address
BANGOR HEALTHCARE
109 STATE ST
BANGOR, ME 04401-5149
Phone number: 207-992-2395
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