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1811373103
RICHARD GRANT
SACO, ME
NPI
1811373103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA4467)
Enumeration Date
2015-08-10
Last Update Date
2015-08-10
Business Address
-- RICHARD GRANT PTA
895 PORTLAND RD
SACO, ME 04072-9673
Phone number: 207-439-5104
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Mailing Address
-- RICHARD GRANT PTA
895 PORTLAND RD
SACO, ME 04072-9673
Phone number: 207-439-5104
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