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1265714489
MATTHEW P WALLENT
SCARBOROUGH, ME
NPI
1265714489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT2777)
Enumeration Date
2011-09-14
Last Update Date
2011-09-14
Business Address
MATTHEW P WALLENT MPT
67 PINE POINT RD
SCARBOROUGH, ME 04074-8813
Phone number: 207-883-2468
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Mailing Address
MATTHEW P WALLENT MPT
67 PINE POINT RD
SCARBOROUGH, ME 04074-8813
Phone number: 207-883-2468
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