Individual
MARY DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
38 UNION ST, LIVERMORE FALLS, ME 04254-1229
(207) 897-6601
(207) 897-4339
Mailing address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 897-6601
(207) 897-4339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
022631
ME
363LF0000X
Family Nurse Practitioner
Primary
APO81024
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332620099
—
ME
Enumeration date
02/07/2006
Last updated
11/22/2011
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