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1487600011
THOMAS J VANIDESTINE JR
BANGOR, ME
NPI
1487600011
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Entity Type
Organization
Authorized Contact
THOMAS J VANIDESTINE
Owner
207-942-2800
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2006-05-25
Last Update Date
2017-03-16
Business Address
THOMAS J VANIDESTINE JR
336 MOUNT HOPE AVE SUITE 11
BANGOR, ME 04401-4236
Phone number: 207-942-2800
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Mailing Address
THOMAS J VANIDESTINE JR
336 MOUNT HOPE AVE SUITE 11
BANGOR, ME 04401-4236
Phone number: 207-942-2800
Copy
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