JAYDE D SHANNON,

MILLINOCKET, ME
NPI1710266317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ME  IPH97)
Enumeration Date2011-08-12
Last Update Date2016-09-02
Business Address
-- JAYDE D SHANNON, IPH
50 SUMMER ST
MILLINOCKET, ME 04462-1400
Phone number: 207-528-2285
Mailing Address
-- JAYDE D SHANNON, IPH
PO BOX 500
PATTEN, ME 04765-0500
Phone number: 207-528-2285
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