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Individual

MRS. HEATHER DUPREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
158 ROSS RD, KENNEBUNK, ME 04043-6532
(207) 590-9449
Mailing address
40 NEW RD, HOLLIS CENTER, ME 04042-3737

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OT2285
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
O
Enumeration date
04/26/2015
Last updated
04/26/2015
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