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1740700418
MARISSA MCGOVERN
LEWISTON, ME
NPI
1740700418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA4673)
Enumeration Date
2017-06-23
Last Update Date
2017-06-23
Business Address
MARISSA MCGOVERN PTA
33 ROGER ST
LEWISTON, ME 04240-3328
Phone number: 207-784-0108
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Mailing Address
MARISSA MCGOVERN PTA
350 RANDALL RD BUILDING 6, APT 7
LEWISTON, ME 04240
Phone number: 207-214-3452
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