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1891881447
JAIME L PETRUS
PORTLAND, ME
NPI
1891881447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: ME 017196)
Enumeration Date
2006-10-04
Last Update Date
2009-02-23
Business Address
-- JAIME L PETRUS MD
22 BRAMHALL ST PAVILION 1203
PORTLAND, ME 04102
Phone number: 207-662-4618
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Mailing Address
-- JAIME L PETRUS MD
39 WALLACE AVE
SO PORTLAND, ME 04106
Phone number: 207-761-0650
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