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Individual

MARY WOODALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
770 ROOSEVELT TRL, WINDHAM, ME 04062-5300
(207) 892-2541
Mailing address
100 HARVEST HILL RD, WINDHAM, ME 04062-5789

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR47099
ME

Other

Enumeration date
01/27/2019
Last updated
01/27/2019
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