JORDAN SAMUEL HARRIS

BANGOR, ME
NPI1407373517
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ME  OT3363)
Enumeration Date2017-08-29
Last Update Date2017-08-29
Business Address
JORDAN SAMUEL HARRIS
28 GILMAN PLZ
BANGOR, ME 04401-3561
Phone number: 207-990-0162
Mailing Address
JORDAN SAMUEL HARRIS
28 GILMAN PLZ
BANGOR, ME 04401-3561
Phone number:
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