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1326057753
SHIRLEY BLAKE
BANGOR, ME
NPI
1326057753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT44)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
-- SHIRLEY BLAKE PT
133 CORPORATE DR SUITE 2
BANGOR, ME 04401-4312
Phone number: 207-992-9286
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Mailing Address
-- SHIRLEY BLAKE PT
PO BOX 921
BANGOR, ME 04402-0921
Phone number: 207-992-2070
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