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1093837338
JERUSHA MADALINE CHICOINE
PORTLAND, ME
NPI
1093837338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ME sp1320)
Enumeration Date
2007-04-06
Last Update Date
2009-10-19
Business Address
-- JERUSHA MADALINE CHICOINE MS, CCC-SLP
75 W COMMERCIAL ST
PORTLAND, ME 04101-4797
Phone number: 207-874-1065
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Mailing Address
-- JERUSHA MADALINE CHICOINE MS, CCC-SLP
75 W COMMERCIAL ST
PORTLAND, ME 04101-4797
Phone number: 207-874-1065
Copy
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