JUSTIN LEE BROUSSEAU

LEWISTON, ME
NPI1235431370
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: ME  MT4322)
Enumeration Date2010-11-22
Last Update Date2012-09-19
Business Address
Mr. JUSTIN LEE BROUSSEAU LMT
183 MAIN ST
LEWISTON, ME 04240-7016
Phone number: 207-344-8385
Mailing Address
Mr. JUSTIN LEE BROUSSEAU LMT
183 MAIN ST
LEWISTON, ME 04240-7016
Phone number: 207-344-8385
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