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Individual

LAURA T. BRIDGMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
F.N.P., N.D.

Contact information

Practice address
218 COTTRELL RD, DIXMONT, ME 04932-3246
(207) 512-0584
Mailing address
268 STATE ST, BANGOR, ME 04401-5417
(207) 512-0584

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R026043
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
246520000
ME
Enumeration date
09/14/2006
Last updated
02/04/2016
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