Provider First Line Business Practice Location Address:
333 LINCOLN STREET
Provider Second Line Business Practice Location Address:
KIMBALL HEALTH CTR
Provider Business Practice Location Address City Name:
SACO
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04072
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-282-6330
Provider Business Practice Location Address Fax Number:
207-283-3338
Provider Enumeration Date:
08/21/2006