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1417058710
DORIAN BETH BANNISTER
PORT ORCHARD, WA
NPI
1417058710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA 004413)
Enumeration Date
2006-09-26
Last Update Date
2011-04-28
Business Address
-- DORIAN BETH BANNISTER OTR/L CLT
2031 POTTERY AVE
PORT ORCHARD, WA 98366-2010
Phone number: 360-876-8035
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Mailing Address
-- DORIAN BETH BANNISTER OTR/L CLT
650 RIVER RD
WINDHAM, ME 04062-4607
Phone number: 207-671-5433
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