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CRYSTAL ANNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
23 NORTH ST STE 4, PRESQUE ISLE, ME 04769-2295
(207) 764-3142
(207) 760-8170
Mailing address
4 CARRIER WOOD RD APT 21, SCARBOROUGH, ME 04074-7182
(207) 214-6402

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2718
ME

Other

Enumeration date
08/14/2023
Last updated
08/23/2024
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