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Individual

JOCELYN M LANGEVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
193 MAIN ST STE 9, NORWAY, ME 04268
(207) 743-8766
(207) 743-1579
Mailing address
193 MAIN ST STE 9, NORWAY, ME 04268-5647
(207) 743-8766
(207) 743-1579

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
02002721A
IN
208000000X
Pediatrics Physician
Primary
DO2777
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000370480
ANTHEM
IN
01
000000659549
ANTHEM
IN
05
1427089374
ME
05
200519610
IN
Enumeration date
07/06/2006
Last updated
05/23/2018
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