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1730612839
WILLIAM BLAINE-WALLACE
FARMINGTON, ME
NPI
1730612839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ME XP4415)
Enumeration Date
2017-04-05
Last Update Date
2017-04-05
Business Address
-- WILLIAM BLAINE-WALLACE
456 NEW VINEYARD RD
FARMINGTON, ME 04938-5216
Phone number: 207-491-9645
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Mailing Address
-- WILLIAM BLAINE-WALLACE
456 NEW VINEYARD RD
FARMINGTON, ME 04938-5216
Phone number: 207-491-9645
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