Individual
EDMOND A BUREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
20 PORTLAND ST, PORTLAND, ME 04101-2912
(207) 874-8445
(297) 874-8975
Mailing address
389 CONGRESS ST, ROOM 307, PORTLAND, ME 04101-3566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61973
ME
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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