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MRS. CATHY A. WHITE COTA/L

>> Contractor >> Other Service Providers

Registrant NPI Number: 1457638942

Individual Registrant:
MRS. CATHY A. WHITE COTA/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
311 COTTRELL RD  DIXMONT, ME 04932-3242 US
Tel: 207-234-4693  Fax: --

Contact information for business:
311 COTTRELL RD  DIXMONT, ME 04932-3242 US
Tel: 207-234-4693  Fax: --

Registration Information:
NPI: 1457638942
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171W00000XOther Service Providers
Contractor
ME#OA1348

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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