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1063518447
JESSICA LYNNE STORY
PORTLAND, ME
NPI
1063518447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: ME OT1788)
Enumeration Date
2006-09-15
Last Update Date
2012-04-09
Business Address
-- JESSICA LYNNE STORY OTR/L
125 PRESUMPSCOT ST
PORTLAND, ME 04103-5225
Phone number: 207-699-5531
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Mailing Address
-- JESSICA LYNNE STORY OTR/L
4 SWALE LN
LEWISTON, ME 04240-4542
Phone number: 207-689-3599
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