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Individual

PROF. WAYNE RICHARD LAMARRE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MED, ATC, LAT

Contact information

Practice address
11 HILLS BEACH RD, BIDDEFORD, ME 04005-9526
(207) 602-2412
Mailing address
11 HALE RD, RAYMOND, ME 04071-6101
(207) 602-2412

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT193
ME

Other

Enumeration date
09/19/2005
Last updated
07/08/2007
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