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1114130028
JOAN J ELLIS
BANGOR, ME
NPI
1114130028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ME sp169)
Enumeration Date
2007-05-07
Last Update Date
2007-07-09
Business Address
Ms. JOAN J ELLIS
88 HAMMOND ST SUITE 202
BANGOR, ME 04401-4953
Phone number: 207-461-0707
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Mailing Address
Ms. JOAN J ELLIS
PO BOX 71
HUDSON, ME 04449-0071
Phone number: 207-327-2183
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