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1033461496
LISA L GERVASI
BENTON, ME
NPI
1033461496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ME r057352)
Enumeration Date
2012-10-10
Last Update Date
2012-10-10
Business Address
Ms. LISA L GERVASI RN
1604 BENTON AVE
BENTON, ME 04901-3327
Phone number: 207-453-4708
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Mailing Address
Ms. LISA L GERVASI RN
121 BACK WINTERPORT RD
HAMPDEN, ME 04444
Phone number: 207-852-7192
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