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Individual

MISS DEBRA ANN CORMIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
31 ORCHARD ST, SCARBOROUGH, ME 04074
(207) 883-3173
Mailing address
31 ORCHARD ST, SCARBOROUGH, ME 04074-9612
(207) 883-3173

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
21453
MA
183500000X
Pharmacist
Primary
PR4326
ME
183500000X
Pharmacist
R1330
NH

Other

Enumeration date
05/12/2010
Last updated
05/12/2010
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