GENESIS E JUAT

LEWISTON, ME
NPI1851646707
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ME  EC121094)
Enumeration Date2012-07-17
Last Update Date2015-08-21
Business Address
-- GENESIS E JUAT MD
76 HIGH ST
LEWISTON, ME 04240-7649
Phone number: 207-795-2800
Mailing Address
-- GENESIS E JUAT MD
955 POWELL AVE SW
RENTON, WA 98057
Phone number: 425-277-1311
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