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ERIC RICHARD GABRIELSEN

General Care >> Respiratory Therapist, Certified >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1720095862

Individual Registrant:
 ERIC RICHARD GABRIELSEN 
Gender: M
Sole Proprietor

Location and contact information for practice:
1 VA CENTER  TOGUS, ME 04330 US
Tel: 207-623-8411  Fax: --

Contact information for business:
18 HIGH STREET  WILTON, ME 04294 US
Tel: 207-645-4060  Fax: --

Registration Information:
NPI: 1720095862
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2278G1100XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory Therapist, Certified
General Care
METC1250

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CRTTC1250ME01




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