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Organization

MARYLINE OUELLETTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARYLINE OUELLETTE (OWNER)
(207) 493-1059
Entity
Organization

Contact information

Practice address
1980 VAN BUREN RD, CONNOR TWP, ME 04736-6627
(207) 493-1059
Mailing address
1980 VAN BUREN RD, CONNOR TWP, ME 04736-6627

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
07/07/2009
Last updated
07/07/2009
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