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1134359813
KONSTATIN KIYANITSA
WESTBROOK, ME
NPI
1134359813
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Entity Type
Organization
Authorized Contact
KONSTATIN KIYANITSA
Owner
207-854-4749
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2009-07-16
Last Update Date
2009-07-16
Business Address
KONSTATIN KIYANITSA
10 PROSPECT ST APT 63
WESTBROOK, ME 04092-3970
Phone number: 207-854-4749
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Mailing Address
KONSTATIN KIYANITSA
10 PROSPECT ST APT 63
WESTBROOK, ME 04092-3970
Phone number:
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