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Individual
NICOLE LYNN CARNEY
Active
Individual
NICOLE LYNN CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2464
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
SC
Other
Enumeration date
03/31/2011
Last updated
10/18/2018
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