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1497311773
ALI TAREQ ASHOUR
PORTLAND, ME
NPI
1497311773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: ME 31673)
Enumeration Date
2019-05-13
Last Update Date
2022-07-25
Business Address
ALI TAREQ ASHOUR
980 FOREST AVE STE 106
PORTLAND, ME 04103-3357
Phone number: 207-329-2838
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Mailing Address
ALI TAREQ ASHOUR
12 SPRUCE ST STE 5
AUGUSTA, ME 04330-5204
Phone number: 207-329-2838
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