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1700012168
MARY KATHERINE M LAKE
PETERBOROUGH, NH
NPI
1700012168
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Other Name
MARY KAYE LAKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NH 2925)
Enumeration Date
2009-05-29
Last Update Date
2009-05-29
Business Address
-- MARY KATHERINE M LAKE PT
458 OLD STREET RD
PETERBOROUGH, NH 03458-1265
Phone number: 603-924-4635
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Mailing Address
-- MARY KATHERINE M LAKE PT
458 OLD STREET RD
PETERBOROUGH, NH 03458-1265
Phone number: 603-924-4635
Copy
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