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Individual

MS. DIANE L DURRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1604 BENTON AVE, BENTON, ME 04901-3327
(207) 453-4708
(207) 453-6250
Mailing address
PO BOX 358, FAIRFIELD, ME 04937-0358
(207) 453-4708
(207) 453-6250

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN24397
ME
251E00000X
Home Health Agency
Primary

Other

Enumeration date
05/25/2015
Last updated
05/25/2015
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