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1114433091
AMANDA ROSE JORDAN
LEWISTON, ME
NPI
1114433091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: ME RDH4147)
Enumeration Date
2017-12-14
Last Update Date
2017-12-14
Business Address
AMANDA ROSE JORDAN RDH
19 PETTINGILL ST
LEWISTON, ME 04240-5903
Phone number: 207-513-1111
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Mailing Address
AMANDA ROSE JORDAN RDH
269 HEBRON RD
BUCKFIELD, ME 04220-4136
Phone number: 207-740-4170
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