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1174937890
JENNIFER DESISTO
HAMPDEN, ME
NPI
1174937890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT2823)
Enumeration Date
2014-06-20
Last Update Date
2014-06-20
Business Address
MRS. JENNIFER DESISTO O.T.
24 MAIN RD N
HAMPDEN, ME 04444-1306
Phone number: 207-862-3255
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Mailing Address
MRS. JENNIFER DESISTO O.T.
8 PAGE PL
ORONO, ME 04473-3850
Phone number: 207-213-0575
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