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Individual

HAROLD L DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 872-1303
(207) 872-1302
Mailing address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 872-1303
(207) 872-1302

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R044570
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154420000
ME
Enumeration date
08/31/2006
Last updated
07/03/2008
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