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1851696512
SHANNON I AMBRUTIS
PRESQUE ISLE, ME
NPI
1851696512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-01-11
Last Update Date
2011-01-11
Business Address
-- SHANNON I AMBRUTIS MHRT-1
2 AIRPORT DR
PRESQUE ISLE, ME 04769-2041
Phone number: 207-764-0759
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Mailing Address
-- SHANNON I AMBRUTIS MHRT-1
2 AIRPORT DR
PRESQUE ISLE, ME 04769-2041
Phone number: 207-764-0759
Copy
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