Individual
MRS. PAT JUBINVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 CIDER HILL RD, EXETER, ME 04435-3011
(207) 379-3148
Mailing address
280 CIDER HILL RD, EXETER, ME 04435-3011
(207) 379-3148
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
ALLS1364
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215780000
—
ME
Enumeration date
03/02/2007
Last updated
07/09/2007
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