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1154678969
KASSIE JO LOVELY CLARK
PRESQUE ISLE, ME
NPI
1154678969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME TO2657)
Enumeration Date
2012-08-10
Last Update Date
2020-08-17
Business Address
KASSIE JO LOVELY CLARK MS,OT/L
79 BLAKE ST SUITE 1
PRESQUE ISLE, ME 04769-2474
Phone number: 207-764-3036
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Mailing Address
KASSIE JO LOVELY CLARK MS,OT/L
408 GRIFFIN RIDGE RD
MAPLETON, ME 04757-4415
Phone number: 207-227-6538
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