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1760940464
MARY ELIZABETH WAGSTAFF
ELLSWORTH, ME
NPI
1760940464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XG0600X Occupational Therapist Gerontology
(Licence: ME OT955)
Enumeration Date
2019-03-12
Last Update Date
2020-04-16
Business Address
MARY ELIZABETH WAGSTAFF OTR/L
SEAPORT VILLAGE HEALTHCARE 19 GENERAL MOORE WAY
ELLSWORTH, ME 04605
Phone number: 207-667-9336
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Mailing Address
MARY ELIZABETH WAGSTAFF OTR/L
35 UPLAND WAY
ELLSWORTH, ME 04605-3475
Phone number: 207-266-4396
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