LISA BOULET

WINTHROP, ME
NPI1497087340
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ME  2216)
Enumeration Date2010-02-03
Last Update Date2010-02-03
Business Address
-- LISA BOULET
676 OLD LEWISTON RD
WINTHROP, ME 04364
Phone number: 207-377-7003
Mailing Address
-- LISA BOULET
32 FAWN LN
GREENE, ME 04236
Phone number: 207-946-7728
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