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1164248944
LISA K POTTER
PORTLAND, ME
NPI
1164248944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: ME RDH3106)
Enumeration Date
2024-11-26
Last Update Date
2024-11-26
Business Address
LISA K POTTER IPDH
716 STEVENS AVE
PORTLAND, ME 04103-2656
Phone number: 207-221-4129
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Mailing Address
LISA K POTTER IPDH
716 STEVENS AVE DEPT COLEMAN
PORTLAND, ME 04103-2656
Phone number: 207-221-4129
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