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SUSAN EMILY DAVIS DOUGHTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP C

Contact information

Practice address
260 WESTERN AVENUE, NEW ENGLAND WOMEN CENTER, SOUTH PORTLAND, ME 04106
(207) 761-4700
(217) 761-4744
Mailing address
260 WESTERN AVENUE, SOUTH PORTLAND, ME 04106
(207) 761-4700
(217) 761-4744

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R027192
ME

Other

Enumeration date
06/29/2006
Last updated
07/08/2007
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