KIRK MAURICE FONGEMIE

PORTLAND, ME
NPI1164903647
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ME  SP2539)
Enumeration Date2018-08-23
Last Update Date2018-08-23
Business Address
KIRK MAURICE FONGEMIE
1133 WASHINGTON AVE
PORTLAND, ME 04103-3629
Phone number: 207-797-0600
Mailing Address
KIRK MAURICE FONGEMIE
1133 WASHINGTON AVE
PORTLAND, ME 04103-3629
Phone number: 207-797-0600
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