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1407957640
IRA J ROSEN
LEWISTON, ME
NPI
1407957640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: ME PS206)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
Mr. IRA J ROSEN Ph D
443 MAIN ST
LEWISTON, ME 04240-6733
Phone number: 207-786-0270
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Mailing Address
Mr. IRA J ROSEN Ph D
443 MAIN ST
LEWISTON, ME 04240-6733
Phone number: 207-786-0270
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