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1811906266
SUSAN FICKETT
BANGOR, ME
NPI
1811906266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT504)
Enumeration Date
2006-08-05
Last Update Date
2009-01-21
Business Address
-- SUSAN FICKETT OTR
133 CORPORATE DR SUITE 2
BANGOR, ME 04401-4312
Phone number: 207-992-9286
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Mailing Address
-- SUSAN FICKETT OTR
PO BOX 921
BANGOR, ME 04402-0921
Phone number: 207-942-7650
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