Individual
ERIC RICHARD GABRIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VA CENTER, TOGUS, ME 04330
(207) 623-8411
Mailing address
18 HIGH STREET, WILTON, ME 04294
(207) 645-4060
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
TC1250
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TC1250
CRT
ME
Enumeration date
08/02/2006
Last updated
07/08/2007
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