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1316209232
LISA J JACOBS
ELLSWORTH, ME
NPI
1316209232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: ME 2402)
Enumeration Date
2012-06-15
Last Update Date
2012-06-15
Business Address
LISA J JACOBS RDH
52 CHRISTIAN RIDGE RD
ELLSWORTH, ME 04605
Phone number: 207-667-0293
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Mailing Address
LISA J JACOBS RDH
52 CHRISTIAN RIDGE RD
ELLSWORTH, ME 04605
Phone number: 207-667-0293
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