Individual
JACQUELINE MARIE DUBORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, NHCM
Contact information
Practice address
28 S HIGH ST, BRIDGTON, ME 04009-1110
(207) 647-5968
(207) 647-5919
Mailing address
28 S HIGH ST, BRIDGTON, ME 04009-1110
(207) 647-5968
(207) 647-5919
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM338
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3096289
—
NH
Enumeration date
09/25/2012
Last updated
08/05/2015
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