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Individual

MR. DALE ALAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DALE SMITH RNFA

Contact information

Practice address
192 SEBAGO LAKE RD, GORHAM, ME 04038-2328
(207) 751-8144
Mailing address
192 SEBAGO LAKE RD, GORHAM, ME 04038-2328
(207) 751-8144

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R024945
ME

Other

Enumeration date
10/23/2006
Last updated
06/22/2008
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