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Individual

ALYSN D. HEALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
417 STATE ST STE 421, BANGOR, ME 04401-6639
(207) 973-4633
(207) 973-5263
Mailing address
43 WHITING HILL RD, STE 300, BREWER, ME 04412-1005
(207) 973-5035
(207) 973-5042

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1386
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225421735400607
ME
Enumeration date
04/03/2013
Last updated
05/27/2020
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