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1134247307
LYNETTE ROSE GODBOUT
LEWISTON, ME
NPI
1134247307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA2302)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
LYNETTE ROSE GODBOUT PTA
102 CAMPUS AVE
LEWISTON, ME 04240-6019
Phone number: 207-777-4219
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Mailing Address
LYNETTE ROSE GODBOUT PTA
307 ROUTE 135
MONMOUTH, ME 04259-6518
Phone number:
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