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1992308365
JACQUELINE AWALT
OAKLAND, ME
NPI
1992308365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ME OA3984)
Enumeration Date
2020-11-18
Last Update Date
2020-11-18
Business Address
JACQUELINE AWALT COTA/L
840 KENNEDY MEMORIAL DR
OAKLAND, ME 04963-4887
Phone number: 207-716-1863
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Mailing Address
JACQUELINE AWALT COTA/L
840 KENNEDY MEMORIAL DR
OAKLAND, ME 04963-4887
Phone number:
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