Individual
MRS. MIRA-SU THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7 MADELYN LN, SUITE 200, ROCKPORT, ME 04856-4460
(207) 593-5900
(207) 593-5358
Mailing address
7 MADELYN LN, SUITE 200, ROCKPORT, ME 04856-4460
(207) 593-5900
(207) 593-5358
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA637
ME
Other
Enumeration date
02/15/2007
Last updated
06/25/2013
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