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Individual

SHANNON P DOWDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCCA

Contact information

Practice address
347 MAIN ST, SUITE 1A, GORHAM, ME 04038-1338
(207) 839-8400
(866) 596-0877
Mailing address
347 MAIN ST, SUITE 1A, GORHAM, ME 04038-1338
(207) 839-8400
(866) 596-0877

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AP1233
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098737
ANTHEM BCBS
ME
05
264240099
ME
Enumeration date
01/29/2007
Last updated
02/12/2015
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