Individual
DUSTIN STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 BELGRADE AVE, AUBURN, ME 04210-4095
(207) 783-0018
Mailing address
17 BROOKSIDE DR, STANDISH, ME 04084-6438
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT561
ME
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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