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1003292509
LISA KELLEY
PORTLAND, ME
NPI
1003292509
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Former Name
LISA MACVANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175F00000X Naturopath
(Licence: ME mt4261)
Enumeration Date
2015-08-06
Last Update Date
2015-08-06
Business Address
-- LISA KELLEY LMT
117 FREE STREET C/O HEADGAMES SPA
PORTLAND, ME 04106
Phone number: 207-239-9485
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Mailing Address
-- LISA KELLEY LMT
268 PREBLE ST UNIT B
SOUTH PORTLAND, ME 04106-2232
Phone number:
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