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1639554769
SUSAN WALLACE
AUGUSTA, ME
NPI
1639554769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT420)
Enumeration Date
2015-07-30
Last Update Date
2015-07-30
Business Address
-- SUSAN WALLACE
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330-8160
Phone number: 207-621-3639
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Mailing Address
-- SUSAN WALLACE
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330-8160
Phone number: 207-621-3639
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