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Individual
ALLEN LIONEL MARTIN
Active
Individual
ALLEN LIONEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN41793
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP81743
ME
Other
Enumeration date
09/29/2006
Last updated
01/27/2017
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