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Organization
WATERVILLE FAMILY PRACTICE
Active
Organization
WATERVILLE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE L BUREAU (PRACTICE MANAGER)
(207) 873-1181
Entity
Organization
Contact information
Practice address
13 RAILROAD SQ, WATERVILLE, ME 04901-6139
(207) 873-1181
(207) 873-1186
Mailing address
13 RAILROAD SQ, WATERVILLE, ME 04901-6139
(207) 873-1181
(207) 873-1186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2005
Last updated
08/22/2020
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