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Mr. Colin Richard Robinson

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NPI Number Detailed Information

Provider Information:

Name: Mr. Colin Richard Robinson
Gender: M
Provider License Number If Given: 583

NPI Information:

NPI: 1154316610
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 584 ROOSEVELT TRL
Windham, ME 04062
Phone Number: 2078923216
Fax Number: 2078920082

Provider Business Practice Location Address:

Address: 584 ROOSEVELT TRL
Windham, ME 04062
Phone Number: 2078923216
Fax Number: 2078920082

Provider Taxonomy:

Primary: 152W00000X
Secondary (if any):
State: ME

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