REVAZ BOUKIA

LINCOLN, ME
NPI1144638859
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2014-07-25
Last Update Date2014-07-25
Business Address
-- REVAZ BOUKIA PA-C
252 ENFIELD RD
LINCOLN, ME 04457-4146
Phone number: 207-794-7215
Mailing Address
-- REVAZ BOUKIA PA-C
PO BOX 368
LINCOLN, ME 04457-0368
Phone number:
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