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1073573069
DIANA LYNN MICHAUD
WATERVILLE, ME
NPI
1073573069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA1271)
Enumeration Date
2006-03-24
Last Update Date
2007-07-08
Business Address
Mrs. DIANA LYNN MICHAUD PTA
28 COLLEGE AVENUE
WATERVILLE, ME 04901
Phone number: 207-873-4302
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Mailing Address
Mrs. DIANA LYNN MICHAUD PTA
13 BOLDUC AVENUE
WINSLOW, ME 04901
Phone number: 207-872-5894
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