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1578029096
KATHERINE NOVAK
PORTLAND, ME
NPI
1578029096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ME MT6067)
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
KATHERINE NOVAK
11 CAMPBELL RD
PORTLAND, ME 04103-1018
Phone number: 207-450-4441
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Mailing Address
KATHERINE NOVAK
11 CAMPBELL RD
PORTLAND, ME 04103-1018
Phone number: 207-450-4441
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