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Organization

POULIN OPTICIAN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT J MICHAUD (OWNER)
(207) 872-6311
Entity
Organization

Contact information

Practice address
117 MAIN ST, WATERVILLE, ME 04901-6621
(207) 872-6311
(207) 872-6311
Mailing address
117 MAIN ST, WATERVILLE, ME 04901-6621
(207) 872-6311
(207) 872-6311

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112880000
ME
Enumeration date
10/27/2009
Last updated
10/27/2009
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