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Individual

MRS. KIMBERLEY JANE FOURNIER-JACQUES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
443 COLLEGE ST, LEWISTON, ME 04240-5331
(207) 783-0890
Mailing address
443 COLLEGE ST, LEWISTON, ME 04240-5331
(207) 783-0890

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT1180
ME

Other

Enumeration date
07/28/2009
Last updated
07/28/2009
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