Provider First Line Business Practice Location Address:
249 N DEER ISLE RD
Provider Second Line Business Practice Location Address:
DEER ISLE-STONINGTON ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
DEER ISLE
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04627-3432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-460-6304
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/25/2007