Individual
CASSIE MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
689 ODLIN RD, BANGOR, ME 04401-6709
(207) 947-6800
Mailing address
689 ODLIN RD, BANGOR, ME 04401-6709
(207) 947-6800
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN14730
ME
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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