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1326647470
BLAISE ISHIMWE
WINDHAM, ME
NPI
1326647470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-10-20
Last Update Date
2020-10-20
Business Address
Mr. BLAISE ISHIMWE DSP
3 COBALT CT # PVT
WINDHAM, ME 04062-4691
Phone number: 225-284-6850
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Mailing Address
Mr. BLAISE ISHIMWE DSP
3 COBALT CT # PVT
WINDHAM, ME 04062-4691
Phone number: 225-284-6850
Copy