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Individual

FRANCINE DALFONSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
81 MEDICAL CENTER DR, 2350, BRUNSWICK, ME 04011-2764
(207) 373-6690
(207) 373-6695
Mailing address
81 MEDICAL CENTER DR, 2350, BRUNSWICK, ME 04011-2764
(207) 373-6690
(207) 373-6695

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP081268
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11459566
CAQH
05
433046499
ME
Enumeration date
05/25/2006
Last updated
02/05/2016
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