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1851678064
MARY ELIZABETH LATENDRESSE
PORTLAND, ME
NPI
1851678064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: ME MT2239)
Enumeration Date
2011-11-16
Last Update Date
2012-07-17
Business Address
Ms. MARY ELIZABETH LATENDRESSE LMT
218 WASHINGTON AVE
PORTLAND, ME 04101-2632
Phone number: 207-773-5778
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Mailing Address
Ms. MARY ELIZABETH LATENDRESSE LMT
30 PREBLE ST APT 553
PORTLAND, ME 04101-4936
Phone number:
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