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Individual

JILLIAN MARY BEAL INGERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
130 PERRY RD, BANGOR, ME 04401-6722
(207) 992-4000
(207) 558-3285
Mailing address
PO BOX 6, STILLWATER, ME 04489-0006
(207) 992-4000
(207) 558-3285

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4637
ME

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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