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Individual

ALISON JEANNE MAILLOUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
500 MARKET ST UNIT 1B, PORTSMOUTH, NH 03801-3456
(603) 294-4526
(603) 590-2662
Mailing address
123 STATE ST, PORTSMOUTH, NH 03801-3825
(603) 502-6566

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1240
NH

Other

Enumeration date
11/08/2018
Last updated
11/08/2018
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