Individual
MRS. BONNIE JILL TROUBH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 CONGRESS ST, PORTLAND, ME 04102-2143
(207) 774-7751
Mailing address
35 PADDOCK WAY, FALMOUTH, ME 04105-1305
(207) 210-6426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA001244
ME
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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