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Individual

MRS. TAMMY LYNN MARTIN TRASK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
94 PARK ST., MILO, ME 04463
(207) 943-6082
(207) 943-5626
Mailing address
233 WEST MAIN ST, MILO, ME 04463
(207) 943-6082
(207) 943-5626

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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