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Individual

SHAWN R WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
895 UNION ST STE 12, BANGOR, ME 04401-3054
(207) 973-7979
(207) 947-9579
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-6035
(207) 973-5042

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/18/2019
Last updated
07/18/2019
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