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Individual

SUSAN GAYLORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
287 MAIN ST, STE 201, LEWISTON, ME 04240-7054
(207) 795-7180
(207) 795-7179
Mailing address
287 MAIN ST, STE 201, LEWISTON, ME 04240-7054
(207) 795-7180
(207) 795-7179

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12540
ME

Other

Enumeration date
01/18/2006
Last updated
11/09/2010
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