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1164162582
LAUREN FOGG-PRATT
ELLSWORTH, ME
NPI
1164162582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT4157)
Enumeration Date
2022-04-01
Last Update Date
2023-10-11
Business Address
LAUREN FOGG-PRATT OTR/L
5 LONG LN
ELLSWORTH, ME 04605-1734
Phone number: 207-619-1172
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Mailing Address
LAUREN FOGG-PRATT OTR/L
5 LONG LN
ELLSWORTH, ME 04605-1734
Phone number:
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