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1578862793
JEAN M GALLANT
SCARBOROUGH, ME
NPI
1578862793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ME OA1739)
Enumeration Date
2011-03-28
Last Update Date
2011-03-28
Business Address
Miss JEAN M GALLANT OTA
67 PINE POINT RD
SCARBOROUGH, ME 04074-8813
Phone number: 207-883-2468
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Mailing Address
Miss JEAN M GALLANT OTA
4 STAGECOACH LN
WINDHAM, ME 04062-5150
Phone number: 207-892-9924
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