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Individual

MISS STEPHANIE ELIZABETH DEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11 HILLS BEACH RD # R143, BIDDEFORD, ME 04005-9526
(413) 439-5440
Mailing address
11 HILLS BEACH RD # R143, BIDDEFORD, ME 04005-9526
(413) 439-5440

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ME

Other

Enumeration date
01/16/2019
Last updated
01/16/2019
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