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1609910215
KATHLEEN M MARTIN
PORTLAND, ME
NPI
1609910215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: ME 0911)
Enumeration Date
2007-02-16
Last Update Date
2007-07-09
Business Address
-- KATHLEEN M MARTIN RDH
389 CONGRESS ST
PORTLAND, ME 04101-3509
Phone number: 207-541-6628
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Mailing Address
-- KATHLEEN M MARTIN RDH
15 CONE AVE
CASCO, ME 04015-4328
Phone number: 207-541-6628
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