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1992877765
KATHARINE J DISALVATORE FORTIN
BANGOR, ME
NPI
1992877765
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Former Name
KATHARINE JEANNE LESSARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ME SP1742)
Enumeration Date
2006-11-15
Last Update Date
2017-01-11
Business Address
Ms. KATHARINE J DISALVATORE FORTIN MA
700 MOUNT HOPE AVE STE 320
BANGOR, ME 04401-5680
Phone number: 207-941-2952
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Mailing Address
Ms. KATHARINE J DISALVATORE FORTIN MA
700 MOUNT HOPE AVE STE 320
BANGOR, ME 04401-5680
Phone number: 207-941-2952
Copy
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