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1649207192
SUSAN GAGNER
SANFORD, ME
NPI
1649207192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA2171)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Ms. SUSAN GAGNER PTA
C/O NEW BEGINNINGS PT 1068 MAIN STREET - BOX 11
SANFORD, ME 04073
Phone number: 207-324-1611
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Mailing Address
Ms. SUSAN GAGNER PTA
C/O NEW BEGINNINGS PT 1068 MAIN STREET - BOX 11
SANFORD, ME 04073
Phone number: 207-324-1611
Copy
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