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1386934818
STEPHANIE RAE MANYAK
BLUE HILL, ME
NPI
1386934818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 2000002379)
Enumeration Date
2011-04-18
Last Update Date
2011-04-18
Business Address
Ms. STEPHANIE RAE MANYAK ATC
949 MORGAN BAY RD
BLUE HILL, ME 04614-5517
Phone number: 207-479-5228
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Mailing Address
Ms. STEPHANIE RAE MANYAK ATC
949 MORGAN BAY RD
BLUE HILL, ME 04614-5517
Phone number: 207-479-5228
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