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Individual

MRS. JULIE SOTOMAYOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTL/R

Contact information

Practice address
163 FULLER RD, EASTON, ME 04740-4115
(207) 488-9675
(207) 488-9709
Mailing address
163 FULLER RD, EASTON, ME 04740-4115
(207) 488-9675
(207) 488-9709

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
037738
BLUE CROSS
ME
01
3089546
CIGNA
Enumeration date
06/26/2006
Last updated
12/10/2007
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