Provider First Line Business Practice Location Address:
111 FRANKLIN HEALTH CMNS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FARMINGTON
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04938-6144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-778-6031
Provider Business Practice Location Address Fax Number:
207-779-2632
Provider Enumeration Date:
06/22/2011