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1780911990
SUSIE A BARNES
PORTLAND, ME
NPI
1780911990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: ME MT3590)
Enumeration Date
2009-11-09
Last Update Date
2009-11-09
Business Address
Ms. SUSIE A BARNES
1 CITY CTR THE BAY CLUB
PORTLAND, ME 04101-6420
Phone number: 207-699-2622
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Mailing Address
Ms. SUSIE A BARNES
83 CARLETON ST APT. 1
PORTLAND, ME 04102
Phone number: 207-699-2622
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