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Individual

DEBORAH DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN - CERTIFIED

Contact information

Practice address
2 SPRINGBROOK DRIVE, BIDDEFORD, ME 04005
(207) 282-1500
(207) 282-7509
Mailing address
63 STATE ST, GORHAM, ME 04038-1012
(207) 324-1500
(207) 490-5263

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2006002694
ME

Other

Enumeration date
08/05/2006
Last updated
07/16/2007
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