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1053880476
JOAN DELUSSO
BANGOR, ME
NPI
1053880476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA3959)
Enumeration Date
2018-11-14
Last Update Date
2018-11-14
Business Address
JOAN DELUSSO
750 UNION ST
BANGOR, ME 04401-3125
Phone number: 207-942-7336
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Mailing Address
JOAN DELUSSO
750 UNION ST
BANGOR, ME 04401-3125
Phone number: 207-942-7336
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