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Individual

MOLLY SKOG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
259 MAIN ST, YARMOUTH, ME 04096-6723
(207) 846-9602
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 828-0361
(207) 874-1483

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP191089
ME

Other

Enumeration date
04/17/2019
Last updated
09/24/2020
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