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Individual

MARY WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
543 BROADWAY, BANGOR, ME 04401-3337
(207) 922-1300
(207) 217-6742
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1553
ME

Other

Enumeration date
07/16/2015
Last updated
04/08/2024
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