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1821777012
KIMBERLEE DAE SUSI
CARIBOU, ME
NPI
1821777012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA6572)
Enumeration Date
2023-07-14
Last Update Date
2023-07-14
Business Address
KIMBERLEE DAE SUSI PTA
163 VAN BUREN RD STE 1
CARIBOU, ME 04736-3588
Phone number: 207-498-1170
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Mailing Address
KIMBERLEE DAE SUSI PTA
73 SWEDEN ST UNIT 2
CARIBOU, ME 04736-2101
Phone number: 207-551-0229
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