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1538461702
KEVIN MACKELL
PORTLAND, ME
NPI
1538461702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ME MT4382)
Enumeration Date
2010-11-22
Last Update Date
2010-11-22
Business Address
Mr. KEVIN MACKELL LMT
23 OCEAN AVE
PORTLAND, ME 04103-5740
Phone number: 207-370-2212
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Mailing Address
Mr. KEVIN MACKELL LMT
23 OCEAN AVE
PORTLAND, ME 04103-5740
Phone number: 207-370-2212
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