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1790232775
ALEXANDRA A BUSACK
SCARBOROUGH, ME
NPI
1790232775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ME ST2585)
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
-- ALEXANDRA A BUSACK
144 US ROUTE 1 STE 4
SCARBOROUGH, ME 04074-7219
Phone number: 207-219-8300
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Mailing Address
-- ALEXANDRA A BUSACK
144 US ROUTE 1 STE 4
SCARBOROUGH, ME 04074-7219
Phone number: 207-219-8300
Copy
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