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1235331166
JENNIFER LYNN WILSON
BANGOR, ME
NPI
1235331166
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Former Name
JENNIFER LYNN INSTASI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ME OA1514)
Enumeration Date
2007-06-04
Last Update Date
2008-01-09
Business Address
JENNIFER LYNN WILSON OTAL
700 MT HOPE AVE SUITE 320
BANGOR, ME 04401-5680
Phone number: 207-941-2952
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Mailing Address
JENNIFER LYNN WILSON OTAL
1048 UNION ST SUITE 5
BANGOR, ME 04401
Phone number: 207-945-5247
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