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1275502056
JASON G LANOUETTE
PORTLAND, ME
NPI
1275502056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME 799)
Enumeration Date
2006-03-15
Last Update Date
2007-07-08
Business Address
-- JASON G LANOUETTE PT
94 AUBURN STREET #103
PORTLAND, ME 04103
Phone number: 207-797-7578
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Mailing Address
-- JASON G LANOUETTE PT
3 CARNOUSTIE DRIVE
FALMOUTH, ME 04105
Phone number: 207-878-8925
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