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1184934531
LAUREN ELIZABETH BREAULT
PORTLAND, ME
NPI
1184934531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: ME OT2467)
Enumeration Date
2010-10-19
Last Update Date
2010-12-21
Business Address
Ms. LAUREN ELIZABETH BREAULT OTR/L
125 PRESUMPSCOT ST
PORTLAND, ME 04103-5225
Phone number: 207-699-5531
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Mailing Address
Ms. LAUREN ELIZABETH BREAULT OTR/L
48 MEADOW WAY
BATH, ME 04530-2353
Phone number: 207-712-7467
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