Provider First Line Business Practice Location Address:
GOODALL OCCUPATIONAL HEALTH CLINIC
Provider Second Line Business Practice Location Address:
13JULY ST.
Provider Business Practice Location Address City Name:
SANFORD
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04073
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-490-7099
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2007