Provider First Line Business Practice Location Address:
23 ELLA P. BURR (ELEMENTARY SCHOOL) ROAD
Provider Second Line Business Practice Location Address:
ELLA P. BURR ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04457-4647
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-794-3253
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/19/2010