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1710266317
JAYDE D SHANNON,
MILLINOCKET, ME
NPI
1710266317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: ME IPH97)
Enumeration Date
2011-08-12
Last Update Date
2016-09-02
Business Address
JAYDE D SHANNON, IPH
50 SUMMER ST
MILLINOCKET, ME 04462-1400
Phone number: 207-528-2285
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Mailing Address
JAYDE D SHANNON, IPH
PO BOX 500
PATTEN, ME 04765-0500
Phone number: 207-528-2285
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