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1992319396
CARL EDWARD JAKOWENKO
SCARBOROUGH, ME
NPI
1992319396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA4170)
Enumeration Date
2020-09-02
Last Update Date
2020-09-02
Business Address
CARL EDWARD JAKOWENKO PTA
378 GORHAM RD
SCARBOROUGH, ME 04074-9640
Phone number: 207-839-2373
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Mailing Address
CARL EDWARD JAKOWENKO PTA
378 GORHAM RD
SCARBOROUGH, ME 04074-9640
Phone number: 207-839-2373
Copy
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