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Alexandre Mavungo
NPI 1720962962 · on the registry since 2025 · sole proprietor
Practice
- Address
- 54 Hillcrest Ave
South Portland, ME 04106 - Phone
- (207) 245-8881
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine