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1982262325
LOGAN ANDREW PHELPS
LEWISTON, ME
NPI
1982262325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: ME PA1934)
Enumeration Date
2019-05-31
Last Update Date
2019-05-31
Business Address
Mr. LOGAN ANDREW PHELPS PA
33 MOLLISON WAY
LEWISTON, ME 04240-5805
Phone number: 207-784-5782
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Mailing Address
Mr. LOGAN ANDREW PHELPS PA
115 MEGQUIER HILL RD
POLAND, ME 04274-7537
Phone number: 419-944-9102
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