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1407373517
JORDAN SAMUEL HARRIS
BANGOR, ME
NPI
1407373517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT3363)
Enumeration Date
2017-08-29
Last Update Date
2017-08-29
Business Address
JORDAN SAMUEL HARRIS
28 GILMAN PLZ
BANGOR, ME 04401-3561
Phone number: 207-990-0162
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Mailing Address
JORDAN SAMUEL HARRIS
28 GILMAN PLZ
BANGOR, ME 04401-3561
Phone number:
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