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1962070383
SHANNON ANDERSON
SOUTH PORTLAND, ME
NPI
1962070383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: ME RDH4085)
Enumeration Date
2021-06-13
Last Update Date
2021-06-13
Business Address
SHANNON ANDERSON RDH
25 LONG CREEK DR
SOUTH PORTLAND, ME 04106-2440
Phone number: 603-296-5166
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Mailing Address
SHANNON ANDERSON RDH
19 DALTON ST
PORTLAND, ME 04103-5211
Phone number:
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