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1548595143
JAN E WAITE
BRUNSWICK, ME
NPI
1548595143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ME SP700)
Enumeration Date
2009-10-15
Last Update Date
2009-10-15
Business Address
-- JAN E WAITE MA
35A GURNET RD
BRUNSWICK, ME 04011-2744
Phone number: 207-725-6365
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Mailing Address
-- JAN E WAITE MA
35A GURNET RD
BRUNSWICK, ME 04011-2744
Phone number: 207-725-6365
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