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MS. CAROLE ELAINE RIDEOUT DSP

Other Service Providers Lodging

Provider NPI: 1528202793

Provider Information:
MS. CAROLE ELAINE RIDEOUT DSP
Gender: F
Sole Proprietor

Practice Location:
222 BIRMINGHAM RD  CHELSEA, ME 04330-1190 US
Tel: 207-582-2440  Fax: --

Business Mailing Address:
222 BIRMINGHAM RD  CHELSEA, ME 04330-1190 US
Tel: 207-582-2440  Fax: --

NPI Information:
NPI: 1528202793
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y177F00000XOther Service Providers
Lodging
ME

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 177F00000X

Type:

Classification:



Definition:



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