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1023672086
DIANE MARIE GALLANT
ANDOVER, MA
NPI
1023672086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MA 1957)
Enumeration Date
2019-04-25
Last Update Date
2019-04-25
Business Address
Mrs. DIANE MARIE GALLANT
5606 80 ANDOVER STREET
ANDOVER, MA 01810
Phone number: 978-340-3434
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Mailing Address
Mrs. DIANE MARIE GALLANT
9 DORNELL RD
IPSWICH, MA 01938-1204
Phone number: 978-335-0852
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