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1073355012
LISETTE TREVINO
PORTLAND, ME
NPI
1073355012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ME ST4105)
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
LISETTE TREVINO
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-4892
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Mailing Address
LISETTE TREVINO
21 CAMDEN ST UNIT 2118
SCARBOROUGH, ME 04074-7593
Phone number: 479-719-6824
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