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1356996342
TIMOTHY MOUSETTE
SANFORD, ME
NPI
1356996342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT3806)
Enumeration Date
2019-08-06
Last Update Date
2019-08-06
Business Address
TIMOTHY MOUSETTE DPT
13 JULY ST
SANFORD, ME 04073-1909
Phone number: 207-490-7098
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Mailing Address
TIMOTHY MOUSETTE DPT
61 MOUSE LN
ALFRED, ME 04002-3618
Phone number: 603-252-7586
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