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1982054672
GWYNETH N MATTINGLY
OLD TOWN, ME
NPI
1982054672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ME CNP161067)
Enumeration Date
2016-06-14
Last Update Date
2024-01-11
Business Address
GWYNETH N MATTINGLY FNPC
242 BRUNSWICK ST
OLD TOWN, ME 04468-1613
Phone number: 207-827-6128
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Mailing Address
GWYNETH N MATTINGLY FNPC
PO BOX 1599
BANGOR, ME 04402-1599
Phone number:
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