NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1104212182
 
 
 
LIBERTY BAY RECOVERY CENTER
343 FOREST AVE
PORTLAND
ME
041012006
1447303961
CHIN
STEPHANIE
ELENA
 
31 PUNKIN VALLEY DR
BRIDGTON
ME
040093425
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