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1023273992
JANE BAMFORD
BANGOR, ME
NPI
1023273992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ME TA2193)
Enumeration Date
2008-07-21
Last Update Date
2015-01-16
Business Address
JANE BAMFORD COTA
28 GILMAN PLAZA C/O WATCH ME SHINE, INC.
BANGOR, ME 04401
Phone number: 207-990-0162
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Mailing Address
JANE BAMFORD COTA
28 GILMAN PLAZA C/O WATCH ME SHINE, INC.
BANGOR, ME 04401
Phone number: 207-990-0162
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