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1922270537
ELIZABETH ANNE FAGAN
PORTLAND, ME
NPI
1922270537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ME SP886)
Enumeration Date
2008-03-25
Last Update Date
2008-03-25
Business Address
Dr. ELIZABETH ANNE FAGAN SLPD
985 FOREST AVE
PORTLAND, ME 04103-3303
Phone number: 207-797-2351
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Mailing Address
Dr. ELIZABETH ANNE FAGAN SLPD
985 FOREST AVE
PORTLAND, ME 04103-3303
Phone number: 207-797-2351
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