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1770888604
DEBRA RENEE BALLOU
ORONO, ME
NPI
1770888604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT2463)
Enumeration Date
2011-01-25
Last Update Date
2011-01-25
Business Address
-- DEBRA RENEE BALLOU MOTR/L
41 KELLEY RD
ORONO, ME 04473-3423
Phone number: 207-852-4037
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Mailing Address
-- DEBRA RENEE BALLOU MOTR/L
41 KELLEY RD
ORONO, ME 04473-3423
Phone number: 207-852-4037
Copy
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