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1912369885
THITNU WAI DIRKSEN
BANGOR, ME
NPI
1912369885
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Former Name
THITNU WAI TIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ME CNP151206)
Enumeration Date
2016-03-22
Last Update Date
2017-10-18
Business Address
THITNU WAI DIRKSEN NP
404 STATE ST STE 310
BANGOR, ME 04401-6623
Phone number: 207-275-4440
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Mailing Address
THITNU WAI DIRKSEN NP
43 WHITING HILL RD STE 300
BREWER, ME 04412-1006
Phone number:
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