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Organization

COASTAL MOBILE PHLEBOTOMY

Active
Other names
Coastal Phlebotomy
Organization subpart
No

Provider details

NPI number
Authorized official
YVONNE MARIE JONES CMA/CPT (OWNER)
(207) 542-9826
Entity
Organization

Contact information

Practice address
45 CHILDS ST, STONINGTON, ME 04681-3514
(207) 542-9826
(207) 942-5663
Mailing address
45 CHILDS ST, STONINGTON, ME 04681-3514
(207) 542-9826
(207) 942-5663

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8765180
ME
347C00000X
Private Vehicle
8765180
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E8E4J6X7
NHA
ME
01
Y2S2Y4Z6
NHA
ME
Enumeration date
08/04/2016
Last updated
08/04/2016
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