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1265520449
PAUL TRAVIS MADDOCKS
AUGUSTA, ME
NPI
1265520449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ME ST513)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- PAUL TRAVIS MADDOCKS SLP
538 WESTERN AVENUE
AUGUSTA, ME 04330
Phone number: 207-621-1125
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Mailing Address
-- PAUL TRAVIS MADDOCKS SLP
538 WESTERN AVENUE
AUGUSTA, ME 04330
Phone number: 207-621-1125
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