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1538778972
ALYSSA K ROULEAU
LEWISTON, ME
NPI
1538778972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ME CNP201295)
Enumeration Date
2020-07-30
Last Update Date
2020-07-30
Business Address
ALYSSA K ROULEAU PMHNP
93 CAMPUS AVE
LEWISTON, ME 04240-6030
Phone number: 207-777-8700
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Mailing Address
ALYSSA K ROULEAU PMHNP
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8950
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