JACOB W SOUCY

PORTLAND, ME
NPI1891359295
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-01
Last Update Date2019-05-01
Business Address
Mr. JACOB W SOUCY PA-S
716 STEVENS AVE
PORTLAND, ME 04103-2693
Phone number: 297-283-0171
Mailing Address
Mr. JACOB W SOUCY PA-S
716 STEVENS AVE
PORTLAND, ME 04103-2693
Phone number: 297-283-0171
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