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Individual

CARRIE L. BOLANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 626-1561
(207) 626-1849
Mailing address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 626-1561
(207) 626-1849

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1472
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356348775
ME
05
321430099
ME
Enumeration date
06/30/2005
Last updated
08/18/2015
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