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Individual
MR. JOHN VICTOR CHAMBERS SR.
Active
Individual
MR. JOHN VICTOR CHAMBERS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
ME
Other
Enumeration date
05/05/2020
Last updated
05/14/2020
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