Individual
MEAGAN BRANDY COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
407 US ROUTE 1, FREEPORT, ME 04032-7023
(207) 729-8474
Mailing address
407 US ROUTE 1, FREEPORT, ME 04032-7023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1050
ME
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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