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1104276518
THERESA MARIE BLAKE-IRELAND
WATERVILLE, ME
NPI
1104276518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: ME 3040)
Enumeration Date
2016-06-16
Last Update Date
2016-06-16
Business Address
Mrs. THERESA MARIE BLAKE-IRELAND RDH
93 MAIN ST
WATERVILLE, ME 04901-6636
Phone number: 207-872-8891
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Mailing Address
Mrs. THERESA MARIE BLAKE-IRELAND RDH
93 MAIN ST
WATERVILLE, ME 04901-6636
Phone number: 207-872-8891
Copy
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