Individual
BRUCE COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 783-9141
Mailing address
230 BARTLETT ST, LEWISTON, ME 04240-6578
(207) 783-4695
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R036505
ME
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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