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1790164648
SHANNON WONG
PORTLAND, ME
NPI
1790164648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: ME MT4634)
Enumeration Date
2015-05-26
Last Update Date
2015-05-26
Business Address
-- SHANNON WONG LMT
449 FOREST AVE
PORTLAND, ME 04101-2029
Phone number: 207-329-4386
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Mailing Address
-- SHANNON WONG LMT
59 SAINT GEORGE ST
PORTLAND, ME 04103-4019
Phone number: 207-329-4386
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