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1487010492
ALICEN MARY JOHNSON
SOUTH PORTLAND, ME
NPI
1487010492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT3048)
Enumeration Date
2016-01-06
Last Update Date
2016-01-06
Business Address
-- ALICEN MARY JOHNSON OT
236 GANNETT DR
SOUTH PORTLAND, ME 04106-6913
Phone number: 207-661-3600
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Mailing Address
-- ALICEN MARY JOHNSON OT
78 ATLANTIC PL
SOUTH PORTLAND, ME 04106-2316
Phone number: 207-661-6654
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