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Individual

MR. ERIC K SHOAPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
70 MAIN ST, PORTER, ME 04068-3527
(207) 625-8126
Mailing address
16 LANE AVE, PORTLAND, ME 04103-1212
(612) 239-6259

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP191323
ME

Other

Enumeration date
03/02/2020
Last updated
03/02/2020
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