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1861500530
LISA J HALL
BANGOR, ME
NPI
1861500530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT1049)
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
-- LISA J HALL OT
656 STATE ST
BANGOR, ME 04401-5609
Phone number: 207-941-4036
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Mailing Address
-- LISA J HALL OT
29 COMIKEV LN
WINTERPORT, ME 04496-3829
Phone number: 207-941-4301
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