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Individual

MARY EVA HERRIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
11 EAST ST, BENTON, ME 04901-3309
(207) 238-9923
Mailing address
32 S GARAND ST, WINSLOW, ME 04901-7080
(207) 660-5130

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN12389
ME

Other

Enumeration date
09/26/2013
Last updated
09/26/2013
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