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Individual

MRS. DIANE MARIE BERNOSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 338-2500
(207) 338-9380
Mailing address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 338-2500
(207) 338-9380

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary

Other

Enumeration date
10/11/2012
Last updated
10/11/2012
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