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Individual

BRIAN J VIOLETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T., C.F.T.

Contact information

Practice address
29 MAIN ST STE 102, VAN BUREN, ME 04785-1519
(207) 551-1690
Mailing address
145 STATE ST, VAN BUREN, ME 04785-2002
(207) 551-1690

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT3704
ME

Other

Enumeration date
05/15/2009
Last updated
05/15/2009
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