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ANDREA KORDA-WILLERSON

Chiropractic Providers Chiropractor Rehabilitation

Provider NPI: 1033258553

Provider Information:
 ANDREA  KORDA-WILLERSON 
Gender: F
Not Sole Proprietor

Practice Location:
1385 CONGRESS ST  PORTLAND, ME 04102-2120 US
Tel: 207-874-2225  Fax: --

Business Mailing Address:
1385 CONGRESS STREET  PORTLAND, ME 04102 US
Tel: 207-874-2225  Fax: --

NPI Information:
NPI: 1033258553
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X111NR0400XChiropractic Providers
Chiropractor
Rehabilitation
MECR820
X111NX0100XChiropractic Providers
Chiropractor
MECR820

Other Provider Identifiers:

IssuerNumberStateType




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