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Individual

DR. J. STEPHEN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
342 AUGUSTA RD, SUITE 1, WINSLOW, ME 04901-0788
(207) 873-7814
(207) 872-2392
Mailing address
342 AUGUSTA RD, SUITE 1, WINSLOW, ME 04901-0788
(207) 873-7814
(207) 872-2392

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CR598
ME

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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