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1124632674
SAMANTHA M MACK
PORTLAND, ME
NPI
1124632674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NH 3051)
Enumeration Date
2020-09-02
Last Update Date
2020-09-02
Business Address
SAMANTHA M MACK OTR
24 HILLCREST CIR
PORTLAND, ME 04103-1443
Phone number: 207-939-7931
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Mailing Address
SAMANTHA M MACK OTR
744 W SWANZEY RD APT 103
SWANZEY, NH 03446-3353
Phone number: 207-939-7931
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