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Individual

MAEGAN A MAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
37 CHURCH ST, DEXTER, ME 04930-1333
(207) 907-0492
Mailing address
814 FULLER RD, HERMON, ME 04401-0108

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CNP211256
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CNP211256
ME
Enumeration date
07/30/2021
Last updated
07/21/2022
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