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Individual

MRS. LISA A MCGOWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
UNIVERSITY OF MAINE, 5721 CUTLER HEALTH CENTER, ORONO, ME 04469-5721
(207) 581-4189
(207) 581-3997
Mailing address
UNIVERSITY OF MAINE, 5721 CUTLER HEALTH CENTER, ORONO, ME 04469-5721
(207) 581-4189
(207) 581-3997

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT102
ME

Other

Enumeration date
12/20/2006
Last updated
07/08/2007
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