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1255410643
MARY LELLO
PORTLAND, ME
NPI
1255410643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: ME AC 166)
Enumeration Date
2006-11-04
Last Update Date
2007-07-08
Business Address
MARY LELLO MAC, LAC
535 OCEAN AVE
PORTLAND, ME 04103-4973
Phone number: 207-761-7228
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Mailing Address
MARY LELLO MAC, LAC
535 OCEAN AVE
PORTLAND, ME 04103-4973
Phone number: 207-761-7228
Copy
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