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1588768154
CAROL J LANE
BANGOR, ME
NPI
1588768154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT1423)
Enumeration Date
2006-09-12
Last Update Date
2015-11-24
Business Address
-- CAROL J LANE PT
890 HAMMOND ST
BANGOR, ME 04401-4328
Phone number: 207-992-4042
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Mailing Address
-- CAROL J LANE PT
797 WILSON ST
BREWER, ME 04412-1000
Phone number: 207-924-0077
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