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1992479455
JONATHAN D OUELLETTE
BANGOR, ME
NPI
1992479455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA5982)
Enumeration Date
2021-08-06
Last Update Date
2021-08-06
Business Address
JONATHAN D OUELLETTE PTA
82 SYLVAN RD
BANGOR, ME 04401-4221
Phone number: 207-401-4324
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Mailing Address
JONATHAN D OUELLETTE PTA
82 SYLVAN RD
BANGOR, ME 04401-4221
Phone number: 207-401-4324
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