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1588901706
JASON ROSS ANTKIES
LEWISTON, ME
NPI
1588901706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC5263)
Enumeration Date
2013-01-08
Last Update Date
2013-01-08
Business Address
-- JASON ROSS ANTKIES LADC
369 MAIN ST
LEWISTON, ME 04240-7030
Phone number: 207-782-3386
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Mailing Address
-- JASON ROSS ANTKIES LADC
369 MAIN ST
LEWISTON, ME 04240-7030
Phone number: 207-782-3386
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