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1619578903
ELSIE ROSE SHAW
DEXTER, ME
NPI
1619578903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ME OA3893)
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
ELSIE ROSE SHAW
64 PARK ST
DEXTER, ME 04930-1470
Phone number: 207-924-5516
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Mailing Address
ELSIE ROSE SHAW
48 MAIN ST
DETROIT, ME 04929-3236
Phone number: 207-416-3627
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