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1326355033
JENNIFER MCCULLUM
GRAY, ME
NPI
1326355033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ME ME1650)
Enumeration Date
2010-09-02
Last Update Date
2010-09-02
Business Address
JENNIFER MCCULLUM S/L PATHOLOGIST
14 SHAKER ROAD
GRAY, ME 04039
Phone number: 207-657-2066
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Mailing Address
JENNIFER MCCULLUM S/L PATHOLOGIST
110 PENNELL AVENUE
PORTLAND, ME 04039
Phone number: 207-773-2507
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