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1891284006
ISAAC SHAINBLUM
LEWISTON, ME
NPI
1891284006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME cac5601)
Enumeration Date
2018-05-02
Last Update Date
2018-05-02
Business Address
Mr. ISAAC SHAINBLUM
4 PARK ST
LEWISTON, ME 04240-7172
Phone number: 207-449-7680
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Mailing Address
Mr. ISAAC SHAINBLUM
65 COLLEGE ST
LEWISTON, ME 04240-6807
Phone number: 207-449-7680
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