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Organization

PAT CHANTERELLE LLC

Active
Other names
Patricia Chanterelle, D.C.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICIA CHANTERELLE D.C. (PRESIDENT)
(207) 846-7711
Entity
Organization

Contact information

Practice address
30 FOREST FALLS DR, SUITE 1, YARMOUTH, ME 04096-6983
(207) 846-7711
(207) 846-7711
Mailing address
30 FOREST FALLS DR, SUITE 1, YARMOUTH, ME 04096-6983
(207) 846-7711
(207) 846-7711

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
CR601
ME

Other

Enumeration date
04/17/2012
Last updated
07/10/2012
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