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1205805967
GUY ROBERT AUDET
PORTLAND, ME
NPI
1205805967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME 1046)
Enumeration Date
2006-03-15
Last Update Date
2007-07-08
Business Address
GUY ROBERT AUDET PTA
94 AUBURN ST SUITE 3
PORTLAND, ME 04103
Phone number: 207-797-7578
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Mailing Address
GUY ROBERT AUDET PTA
4 DEER RUN DR
BIDDEFORD, ME 04005
Phone number: 207-286-8535
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