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Individual

STANLEY LEIBERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
429 LUDLOW ST, PORTLAND, ME 04102-1544
(207) 774-7719
Mailing address
429 LUDLOW ST, PORTLAND, ME 04102-1544
(207) 774-7719

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR2865
ME

Other

Enumeration date
07/26/2010
Last updated
07/26/2010
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