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1992056972
AMY E BONVILLE
GORHAM, ME
NPI
1992056972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ME CNP121017)
Enumeration Date
2012-10-01
Last Update Date
2016-01-22
Business Address
AMY E BONVILLE FNP
575 MAIN ST
GORHAM, ME 04038-2623
Phone number: 207-839-2559
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Mailing Address
AMY E BONVILLE FNP
PO BOX 9746
PORTLAND, ME 04104-5040
Phone number: 207-791-3888
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