NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1003997115 | COUGHLAN | ANN | M |   | 5 MILES CENTER WAY | DAMARISCOTTA | ME | 045434067 |
1124026778 | SMITH | JENNIFER | S |   | 5 MILES CENTER WAY | DAMARISCOTTA | ME | 045434067 |
1265550990 | UMBRIACO | SAMUEL | E |   | P.O. BOX 16022 | LEWISTON | ME | 04243 |