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1801923206
DEBRA RAYE KINNEY
BANGOR, ME
NPI
1801923206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
MRS. DEBRA RAYE KINNEY
23 FIELDSTONE DRIVE
BANGOR, ME 04401
Phone number: 207-947-3176
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Mailing Address
MRS. DEBRA RAYE KINNEY
23 FIELDSTONE DRIVE
BANGOR, ME 04401
Phone number: 207-947-3176
Copy
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