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Corianne L O'donnell, PA-C
Medical Physician Assistant in Bangor, Maine
NPI 1548259211

Corianne L O'donnell is a Medical Physician Assistant based in Bangor, ME and is specialized in Medical. Corianne L O'donnell practices in Bangor, ME and has the professional credentials of PA-C. The NPI Number for Corianne L O'donnell is 1548259211 and holds a License No. 1959 (Maine).

The current practice location address for Corianne L O'donnell is 103 Skyline Rd, Bangor, ME and can be reached out via phone at 610-574-5628. You can also correspond with Corianne L O'donnell through the mailing address at 103 SKYLINE RD, BANGOR, ME - 04401-2158 (mailing address contact number: 610-574-5628).

Location: 103 Skyline Rd, Bangor, ME, 04401-2158
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Provider Profile Details
NPI Number
1548259211
Provider Name
Corianne L O'donnell
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
103 Skyline Rd, Bangor, ME, 04401-2158
Phone Number
610-574-5628
Fax Number
Provider Enumeration Date
10/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019590 01 CONNECTICARE
P00336251 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
103 Skyline Rd
City
State
Zip
04401-2158
Phone Number
610-574-5628
Fax Number
person
Provider Business Mailing Address Details
Address
103 Skyline Rd
City
State
Zip
04401-2158
Phone Number
610-574-5628
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1959 (Massachusetts)
Definition
Definition to come...
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