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Individual

DUSTIN J AMBROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
150 WESTERN AVE, AUGUSTA, ME 04330-7241
(207) 623-4520
Mailing address
121 BRYANT RD, TURNER, ME 04282-3932
(814) 572-9348

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR45441
ME

Other

Enumeration date
08/18/2015
Last updated
08/18/2015
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