Individual
MR. GUY H MCCHESNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
449 FOREST AVE, SUITE 6, PORTLAND, ME 04101-2029
(207) 415-1869
Mailing address
74 MELBOURNE ST # 1, PORTLAND, ME 04101-2727
(207) 415-1869
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5633205
ME
Other
Enumeration date
06/29/2008
Last updated
06/29/2008
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