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1770891616
HENRY FULLER
LISBON, ME
NPI
1770891616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT246)
Enumeration Date
2010-09-14
Last Update Date
2010-09-14
Business Address
MR. HENRY FULLER MASTER OF SCIENCE OT
33 MILL ST
LISBON, ME 04250-6810
Phone number: 207-353-4132
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Mailing Address
MR. HENRY FULLER MASTER OF SCIENCE OT
19 GARTLEY ST
LISBON, ME 04250-6431
Phone number: 207-353-6806
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