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Individual
MR. PETER O'DONNELL
Active
Individual
MR. PETER O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
21443315
ME
363L00000X
Nurse Practitioner
Primary
CNP121035
ME
Other
Enumeration date
07/03/2012
Last updated
12/18/2013
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