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Individual
DR. MICAH GORDON MALENFANT
Active
Individual
DR. MICAH GORDON MALENFANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC, RN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP201195
ME
Other
Enumeration date
07/23/2020
Last updated
09/24/2024
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