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1306343678
AMANDA CLARK
DEXTER, ME
NPI
1306343678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ME OA2329)
Enumeration Date
2018-04-12
Last Update Date
2018-04-12
Business Address
AMANDA CLARK COTA/L
64 PARK ST
DEXTER, ME 04930-1470
Phone number: 207-924-5516
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Mailing Address
AMANDA CLARK COTA/L
64 PARK ST
DEXTER, ME 04930-1470
Phone number: 207-924-5516
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