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1972513745
GLENN D PRENTICE
PORTLAND, ME
NPI
1972513745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ME MD14153)
Enumeration Date
2006-08-08
Last Update Date
2014-11-26
Business Address
-- GLENN D PRENTICE MD
66 BRAMHALL ST
PORTLAND, ME 04102-3344
Phone number: 207-662-3183
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Mailing Address
-- GLENN D PRENTICE MD
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-3183
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