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1487100483
ANNETTE JORDAN
SOUTH PORTLAND, ME
NPI
1487100483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: ME MT2272)
Enumeration Date
2016-08-30
Last Update Date
2016-08-30
Business Address
-- ANNETTE JORDAN
400 SOUTHBOROUGH DR
SOUTH PORTLAND, ME 04106-3249
Phone number: 207-761-1100
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Mailing Address
-- ANNETTE JORDAN
400 SOUTHBOROUGH DR
SOUTH PORTLAND, ME 04106-3249
Phone number: 207-761-1100
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