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Individual

JORDAN BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
43 S LUBEC RD, LUBEC, ME 04652-3620
(207) 733-5541
Mailing address
192 MAIN ST APT B, MACHIAS, ME 04654-3600

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH4096
ME

Other

Enumeration date
04/19/2017
Last updated
04/19/2017
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