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Individual

DR. FAWN RAE DUNPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
85 E ST, SOUTH PORTLAND, ME 04106-2870
(207) 799-0972
(207) 799-4966
Mailing address
85 E ST, SOUTH PORTLAND, ME 04106-2870
(207) 799-0972
(207) 799-4966

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1163
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025865
ANTHEM BC BS
ME
01
6744257
CIGNA
ME
Enumeration date
07/20/2006
Last updated
04/15/2008
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