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1205142072
NICOLE L SHORES
WATERVILLE, ME
NPI
1205142072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ME OA1869)
Enumeration Date
2010-08-31
Last Update Date
2010-08-31
Business Address
Mrs. NICOLE L SHORES COTA/L
58 DRUMMOND AVE
WATERVILLE, ME 04901-5755
Phone number: 207-873-0695
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Mailing Address
Mrs. NICOLE L SHORES COTA/L
20 DEAN ST
WINSLOW, ME 04901-6738
Phone number: 207-859-2313
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