Individual
STEPHEN C POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.F.A.
Contact information
Practice address
89 FIRE RD. 9, CHINA, ME 04358
(207) 680-6280
Mailing address
PO BOX 9, EAST VASSALBORO, ME 04935-0009
(207) 680-6280
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
108732
ME
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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