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1265083109
RYAN KIZITAFF
CALAIS, ME
NPI
1265083109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME AD6912)
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
RYAN KIZITAFF ADC-a
12 BEECH ST
CALAIS, ME 04619-1203
Phone number: 207-454-1300
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Mailing Address
RYAN KIZITAFF ADC-a
12 BEECH ST
CALAIS, ME 04619-1203
Phone number: 207-454-1300
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