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Individual

ERICA MAGNUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
22 BRAMHALL ST OFC 4662, PORTLAND, ME 04102-3134
(207) 662-9046
Mailing address
22 BRAMHALL ST OFC 4663, PORTLAND, ME 04102-3134
(207) 650-8445

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1938
ME

Other

Enumeration date
11/24/2025
Last updated
11/24/2025
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