Individual
MARYKAY B POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8 CARRIAGE CT, MERRIMAC, MA 01860-2026
(978) 912-2656
Mailing address
8 CARRIAGE CT, MERRIMAC, MA 01860-2026
(978) 912-2656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1071
NH
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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