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1114066123
SANDRA LIN BOLAND
PORTLAND, ME
NPI
1114066123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: ME 3157)
Enumeration Date
2007-02-06
Last Update Date
2007-07-09
Business Address
Mrs. SANDRA LIN BOLAND RDH
389 CONGRESS ST. HEALTH AND HUMAN SERVICES, CHILDREN'S ORAL HEALTH
PORTLAND, ME 04101
Phone number: 207-541-6632
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Mailing Address
Mrs. SANDRA LIN BOLAND RDH
269 TOWN FARM RD
NEW GLOUCESTER, ME 04260-4438
Phone number: 207-926-3493
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