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1336829860
ASHLEY WAGNER
WESTBROOK, ME
NPI
1336829860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA6263)
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
Mrs. ASHLEY WAGNER PTA
300 SPRING ST
WESTBROOK, ME 04092-3915
Phone number: 901-592-8167
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Mailing Address
Mrs. ASHLEY WAGNER PTA
25 CORNELL ST
SOUTH PORTLAND, ME 04106-6147
Phone number: 901-592-8167
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