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1235431370
JUSTIN LEE BROUSSEAU
LEWISTON, ME
NPI
1235431370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ME MT4322)
Enumeration Date
2010-11-22
Last Update Date
2012-09-19
Business Address
Mr. JUSTIN LEE BROUSSEAU LMT
183 MAIN ST
LEWISTON, ME 04240-7016
Phone number: 207-344-8385
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Mailing Address
Mr. JUSTIN LEE BROUSSEAU LMT
183 MAIN ST
LEWISTON, ME 04240-7016
Phone number: 207-344-8385
Copy
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