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Organization
KENNETH MASON
Active
Organization
KENNETH MASON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MASON (OWNER)
(207) 214-3196
Entity
Organization
Contact information
Practice address
68 SALMON BROOK ROAD, VANCEBORO, ME 04491-0119
(207) 214-3196
Mailing address
PO BOX 119, VANCEBORO, ME 04491-0119
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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