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Individual

NICHOLAS ENGLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 COLLEGE CIR, BANGOR, ME 04401-2929
(603) 714-9679
Mailing address
201 HUSSON AVE APT A7, BANGOR, ME 04401-3246
(603) 714-9679

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HHAT80888
HARVARD PILGRIM HEALTH CARE
NH
Enumeration date
07/26/2017
Last updated
07/26/2017
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