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1104054014
DALE ERICKSON
FREEPORT, ME
NPI
1104054014
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Entity Type
Organization
Authorized Contact
DALE ERICKSON
Owner
207-865-4352
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2009-06-30
Last Update Date
2009-06-30
Business Address
DALE ERICKSON
40 ACORN RIDGE RD
FREEPORT, ME 04032-6673
Phone number: 207-865-4352
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Mailing Address
DALE ERICKSON
40 ACORN RIDGE RD
FREEPORT, ME 04032-6673
Phone number:
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