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1467144527
ALLEN J FORTIN
BREWER, ME
NPI
1467144527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122400000X Denturist
(Licence: ME DTR5543)
Enumeration Date
2023-05-25
Last Update Date
2023-06-01
Business Address
ALLEN J FORTIN LD
403 WILSON ST
BREWER, ME 04412-1521
Phone number: 207-667-6222
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Mailing Address
ALLEN J FORTIN LD
23 CARRIAGE RD STE 2
ELLSWORTH, ME 04605-2412
Phone number: 207-667-6222
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