Sandra Jean Gowell, MANU.CERT.OF COMP.

NPI #1174678999 in South Portland, Maine

Provider Information

NPI Number: 1174678999
Entity Type: Individual
Name: Sandra Jean Gowell, MANU.CERT.OF COMP.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MANU.CERT.OF COMP.
Enumeration Date: Jan 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 364 MAINE MALL ROAD
Address 2: #239
City: South Portland
State: Maine
ZIP Code: 04106
Phone: (207) 775-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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