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Individual

JENNIFER STORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
43 WHITING HILL RD, BREWER, ME 04412-1005
(207) 973-5035
(207) 973-5042
Mailing address
489 STATE ST, BANGOR, ME 04401-6616

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
994
ME

Other

Enumeration date
04/11/2011
Last updated
04/11/2011
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