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1316124035
THERESA WYSOCKI
BANGOR, ME
NPI
1316124035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT3077)
Enumeration Date
2008-01-24
Last Update Date
2008-01-24
Business Address
-- THERESA WYSOCKI PT
890 HAMMOND ST
BANGOR, ME 04401-4328
Phone number: 207-992-4042
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Mailing Address
-- THERESA WYSOCKI PT
890 HAMMOND ST
BANGOR, ME 04401-4328
Phone number:
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