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MS. JUANITA MCLEAN

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1689910028

Individual Registrant:
MS. JUANITA  MCLEAN 
Gender: F
Sole Proprietor

Location and contact information for practice:
736 N. WALDOBORO ROAD  WALDOBORO, ME 04572-5663 US
Tel: 207-832-5154  Fax: --

Contact information for business:
736 NORTH WALDOBORO ROAD  WALDOBORO, ME 04572-5663 US
Tel: 207-832-5154  Fax: --

Registration Information:
NPI: 1689910028
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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