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Individual

CRYSTAL LEE MACCLINTOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
891 W MAIN ST, SUITE 200, DOVER FOXCROFT, ME 04426-1059
(207) 564-4464
Mailing address
891 W MAIN ST, SUITE 200, DOVER FOXCROFT, ME 04426-1059
(207) 564-4464

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1455
ME

Other

Enumeration date
01/28/2009
Last updated
12/23/2020
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