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1326203688
MOLLY AMIRAULT
PORTLAND, ME
NPI
1326203688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA2471)
Enumeration Date
2008-07-25
Last Update Date
2008-07-25
Business Address
-- MOLLY AMIRAULT PTA
1133 WASHINGTON AVE
PORTLAND, ME 04103-3629
Phone number: 207-797-0600
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Mailing Address
-- MOLLY AMIRAULT PTA
1133 WASHINGTON AVE
PORTLAND, ME 04103-3629
Phone number:
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