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1588648869
TIMOTHY P DAVOREN
PORTLAND, ME
NPI
1588648869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT1285)
Enumeration Date
2005-12-01
Last Update Date
2009-08-26
Business Address
-- TIMOTHY P DAVOREN P.T.
33 SEWALL ST
PORTLAND, ME 04102-2603
Phone number: 207-828-2100
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Mailing Address
-- TIMOTHY P DAVOREN P.T.
PO BOX 1260
PORTLAND, ME 04104-1260
Phone number: 207-828-2100
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